Organization
KEIRA BAKER SKN WELLNESS
Active
Organization
KEIRA BAKER SKN WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEIRA QUEINISE RANDALL NP (NURSE PRACTITIONER/OWNER)
(813) 510-5717
Entity
Organization
Contact information
Practice address
37689 LEAFSIDE LN, ZEPHYRHILLS, FL 33541-3804
(813) 606-8110
Mailing address
7901 4TH ST N # 28048, ST PETERSBURG, FL 33702-4305
(813) 510-5717
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Enumeration date
06/16/2026
Last updated
06/24/2026
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