Individual
KENT BAXTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
815 CIMARRON DR, DAVENPORT, IA 52804-4113
(563) 322-2735
Mailing address
815 CIMARRON DR, DAVENPORT, IA 52804-4113
(563) 322-2735
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
X000435255
IA
Other
Enumeration date
07/22/2016
Last updated
07/22/2016
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