Individual
KIRSTEN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3519 HIGHWAY 63, BLACK ROCK, AR 72415-9022
(870) 878-4005
Mailing address
4196 HIGHWAY 62 412 STE A, HARDY, AR 72542-8002
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/29/2022
Last updated
10/07/2025
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