Individual
MRS. KIMBERLY LYNN BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AT
Contact information
Practice address
1817 OLD VIRGINIA RD, POCOMOKE CITY, MD 21851-3049
(443) 614-4183
Mailing address
3705 VILLAGE TRL, SNOW HILL, MD 21863-3062
(443) 614-4183
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A0000005
MD
Other
Enumeration date
02/06/2006
Last updated
11/13/2014
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