Individual
KAREN BETHANN BAXTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
839 PINTAIL DR, NEWPORT, PA 17074-9527
(701) 929-1059
Mailing address
839 PINTAIL DR, NEWPORT, PA 17074-9527
(701) 929-1059
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
06/19/2026
Last updated
06/19/2026
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