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Kiesha J Baker, CE

Midwife in Dallas, TX. Individual provider (NPI-1).

NPI number1073864781
StatusActive
Last updated in NPPESDec 18, 2019

Details

NPI
1073864781
Entity type
Individual (NPI-1)
Name
Kiesha J Baker
Credential
CE
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 21, 2012
Certification date
Dec 18, 2019
Last updated
Dec 18, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
176B00000X Midwife99394TXYes
374J00000X Doula––

Practice location

208 S Marlborough Ave
Dallas, TX 75208-5703

Phone 214-597-7181

Mailing address

4720 Gaston Ave
Dallas, TX 75246-1014

Phone 214-597-7181

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