Individual
MS. JENNIFER L BAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
800 RAVENHILL DR STE 100&107, ATCHISON, KS 66002-9204
(913) 367-7300
(913) 674-2030
Mailing address
800 RAVENHILL DR, ATCHISON, KS 66002-9204
(913) 367-6682
(913) 674-2039
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-01241
KS
363AS0400X
Surgical Physician Assistant
15-01241
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016289071
PTAN
KS
05
—
200573250A
—
KS
05
—
30004521970002
—
KS
Enumeration date
08/06/2008
Last updated
02/27/2026
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