Individual
MRS. KATHLEEN MARIE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2745
(801) 581-5060
Mailing address
3510 S 2300 E, SALT LAKE CITY, UT 84109-3464
(801) 792-8502
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
4776952-4405
UT
Other
Enumeration date
01/06/2007
Last updated
07/08/2007
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