Individual
KATHRYN BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2000 MEDICAL PKWY STE 200, ANNAPOLIS, MD 21401
(443) 481-3493
(443) 481-6705
Mailing address
PO BOX 12622, BELFAST, ME 04915-4017
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0005515
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101386600
—
MD
Enumeration date
10/01/2014
Last updated
08/21/2018
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