Individual
KAITLYN BACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1102 W MACARTHUR ST, SHAWNEE, OK 74804-1743
(405) 273-2270
Mailing address
7240 BETHEL RD, SHAWNEE, OK 74804-0905
(505) 385-9873
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
09/29/2025
Last updated
09/29/2025
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