Individual
KENDA GALE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1329 S SANGRE RD, STILLWATER, OK 74074-1854
(405) 372-7575
(405) 533-1093
Mailing address
PO BOX 1537, STILLWATER, OK 74076-1537
(405) 372-7575
(405) 533-1093
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
635
OK
Other
Enumeration date
07/04/2006
Last updated
12/13/2016
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