Individual
KELYN BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2630 NE VIVION RD, KANSAS CITY, MO 64119-2513
(816) 459-7175
Mailing address
2630 NE VIVION RD, KANSAS CITY, MO 64119-2513
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2022043307
MO
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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