Individual
MRS. ANDREA JOY BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
746 N MAIZE RD, WICHITA, KS 67212
(316) 721-8877
(316) 721-6762
Mailing address
746 N MAIZE RD, WICHITA, KS 67212
(316) 721-8877
(316) 721-6762
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1521
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100318430A
—
KS
Enumeration date
02/08/2006
Last updated
05/02/2012
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