Kenneth Reese Baird, PA-C
Physician Assistant in St George, UT. Individual provider (NPI-1).
NPI number1194083295
StatusActive
Last updated in NPPESNov 28, 2022
Details
- NPI
- 1194083295
- Entity type
- Individual (NPI-1)
- Name
- Mr. Kenneth Reese Baird
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 25, 2012
- Certification date
- Nov 28, 2022
- Last updated
- Nov 28, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 11579540-1206 | UT | Yes |
| 363A00000X | Physician Assistant | PA0004087 | CO | |
| 363A00000X | Physician Assistant | PA2699 | NV |
Practice location
1665 W Lakota DrSt George, UT 84770-6649
Phone 888-434-8880 · Fax 885-434-8880
Mailing address
1665 W Lakota DrSt George, UT 84770-6649
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