Individual
KAILYN MARIE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14615 CORNWALL LN, CHESTER, VA 23836-6208
(804) 241-4335
Mailing address
14615 CORNWALL LN, CHESTER, VA 23836-6208
(804) 241-4335
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/28/2022
Last updated
01/28/2022
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