Individual
MR. KEVIN BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7027 MONTGOMERY BLVD NE, SUITE F, ALBUQUERQUE, NM 87109-1589
(505) 880-0102
(505) 880-0102
Mailing address
7027 MONTGOMERY BLVD NE, SUITE F, ALBUQUERQUE, NM 87109-1589
(505) 880-0102
(505) 880-0102
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/11/2015
Last updated
12/11/2015
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