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Individual
KRISTY KEATON-BAIRD
Active
Individual
KRISTY KEATON-BAIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
COA.08307-NP
OH
363LP2300X
Primary Care Nurse Practitioner
Primary
4704192639
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02214
PARAMOUNT
OH
05
—
2572201
—
OH
01
—
60886
HEALTH PLAN OF MICHIGAN
MI
Enumeration date
11/18/2005
Last updated
02/02/2023
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