Individual
MRS. KATELYN M BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
403 MARVEL CT, EASTON, MD 21601
(410) 819-8867
(410) 819-8873
Mailing address
403 MARVEL CT, EASTON, MD 21601-4053
(410) 819-8867
(410) 819-8873
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
10002090A
IN
363AM0700X
Medical Physician Assistant
Primary
C0006738
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C0006738
LICENSE
MD
Enumeration date
08/11/2016
Last updated
07/11/2018
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