Individual
KALEENA BAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC, LAT
Contact information
Practice address
1301 W 6TH AVE STE 207, STILLWATER, OK 74074-4381
(405) 707-0900
Mailing address
2130 WARE CIR, ROLLA, MO 65401-2497
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT1273
OK
Other
Enumeration date
08/10/2015
Last updated
08/07/2022
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