Individual
KEVIN BAER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, PMHNP
Contact information
Practice address
5325 FARAON ST, SAINT JOSEPH, MO 64506-3488
(816) 271-7273
Mailing address
3519 WELLINGTON DR, BLOOMINGTON, IN 47401-8824
(812) 322-8899
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2019042805
MO
Other
Enumeration date
11/27/2019
Last updated
11/27/2019
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