Individual
KELSEY KATHERINE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
3030 COMMERCE DR, FORT GRATIOT, MI 48059-3819
(810) 385-5995
(810) 385-9515
Mailing address
17700 25 MILE RD, MACOMB, MI 48042-1711
(586) 785-9128
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4704316627
MI
Other
Enumeration date
12/15/2021
Last updated
12/15/2021
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