Individual
KATHERINE A BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
109 N FAIRLAND ST, PRYOR, OK 74361-4205
(918) 825-1405
Mailing address
109 N FAIRLAND ST, PRYOR, OK 74361-4205
(918) 825-1405
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
163W00000X
Registered Nurse
Primary
R0127732
OK
Other
Enumeration date
03/19/2007
Last updated
09/30/2022
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