Individual
SEAN KELLY BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
216 S MAIN ST, LINDSAY, OK 73052-5634
(405) 756-1414
(405) 756-1162
Mailing address
217 S MAIN ST, LINDSAY, OK 73052-5633
(405) 756-1414
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
78962
OK
Other
Enumeration date
07/01/2019
Last updated
07/01/2019
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