# KEIRA BAKER SKN WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851226278
- **Authorized official:** KEIRA QUEINISE RANDALL NP (NURSE PRACTITIONER/OWNER)
- **Authorized official phone:** (813) 510-5717

## Contact information

- **Practice address:** 37689 LEAFSIDE LN, ZEPHYRHILLS, FL 33541-3804
- **Practice address phone:** (813) 606-8110
- **Mailing address:** 7901 4TH ST N \# 28048, ST PETERSBURG, FL 33702-4305
- **Mailing address phone:** (813) 510-5717

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |
| 363LG0600X | Gerontology Nurse Practitioner | — | NULL | — |
| 363LG0600X | Gerontology Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 06/16/2026
- **Last updated:** 06/24/2026