Individual
KIMBERLY N BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
13535 NEMOURS PKWY, NEMOURS CHILDRENS HOSPITAL, ORLANDO, FL 32827-7402
(407) 567-4000
(407) 567-5924
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPARTMENT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
OS14073
FL
2080P0203X
Pediatric Critical Care Medicine Physician
1859
WI
2080P0203X
Pediatric Critical Care Medicine Physician
34.010141
OH
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
OS14073
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018770000
—
FL
Enumeration date
12/19/2006
Last updated
02/07/2017
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