Individual
MRS. KELLY BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
893 HOUSTON NORTHCUTT BLVD, MOUNT PLEASANT, SC 29464-3446
(803) 427-3195
Mailing address
3266 SCRANTON DR, MOUNT PLEASANT, SC 29466-8538
(803) 427-3195
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F01241356
SC
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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