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Individual

KERRY L BAIRD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APNP

Contact information

Practice address
100 COUNTY ROAD B, SHAWANO, WI 54166-7072
(715) 524-2161
(715) 526-3461
Mailing address
122 E COLLEGE AVE, APPLETON, WI 54911-5741
(920) 996-3264
(920) 830-5910

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
110635
WI
363LF0000X
Family Nurse Practitioner
Primary
9866
WI

Other

Enumeration date
01/29/2020
Last updated
02/11/2020
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