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Individual

KIMBERLY A BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
200 MEMORIAL AVE, WESTMINSTER, MD 21157-5799
(410) 871-7633
Mailing address
200 MEMORIAL AVE, WESTMINSTER, MD 21157-5799

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0002643
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA55833
CDS
MD
Enumeration date
01/24/2007
Last updated
03/07/2023
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