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Individual

KELLI DAIL BAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP, RN

Contact information

Practice address
969 MILL CREEK RD, MEHERRIN, VA 23954-3186
(434) 547-3326
Mailing address
969 MILL CREEK RD, MEHERRIN, VA 23954-3186
(434) 547-3326

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001247035
VA
363L00000X
Nurse Practitioner
Primary
0024191552
VA

Other

Enumeration date
07/22/2024
Last updated
01/03/2025
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