Individual
KYLEIGH BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3220 5TH AVE S, BIRMINGHAM, AL 35222-2309
(205) 934-1917
Mailing address
2211 MONTREAT DR, VESTAVIA HILLS, AL 35216-4036
(607) 345-3494
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-181994
AL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2022064087
AL
Other
Enumeration date
04/23/2021
Last updated
12/19/2022
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