Individual provider · NPI-1

Kelli J Baker, CNP

Nurse Practitioner · Canton, OH

NPI number1255880779
StatusActive
Last updated in NPPESSep 26, 2016

Details

NPI
1255880779
Entity type
Individual (NPI-1)
Name
Mrs. Kelli J Baker
Credential
CNP
Sex
Female
Sole proprietor
No
Enumeration date
Sep 26, 2016
Last updated
Sep 26, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse PractitionerF0916599OHYes

Practice location

4565 Dressler Rd Nw
Suite #111
Canton, OH 44718-2549

Phone 330-493-0013 · Fax 330-493-6973

Mailing address

4565 Dressler Rd Nw
Suite #111
Canton, OH 44718-2549

Phone 330-493-0013 · Fax 330-493-6973

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