Individual
MR. KYLE A BAER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1011 HONOR HEIGHTS DR, MUSKOGEE, OK 74401-1318
(918) 577-3000
Mailing address
1800 W ALBANY DR APT 2124, BROKEN ARROW, OK 74012-5855
(812) 345-6551
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
3018
OK
Other
Enumeration date
01/29/2019
Last updated
01/29/2019
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