Individual
MRS. KRISTY RENEA BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
211 N ILLINOIS ST, WEATHERFORD, OK 73096-5437
(580) 323-1937
(580) 323-1156
Mailing address
5300 N INDEPENDENCE AVE, SUITE 280, OKLAHOMA CITY, OK 73112-5556
(580) 323-1937
(580) 323-1156
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R0057523
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200083240A
—
OK
05
—
200083240B
—
OK
Enumeration date
05/11/2006
Last updated
01/15/2021
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