Kenya Baker
Physician Assistant in Austell, GA. Individual provider (NPI-1).
NPI number1548913825
StatusActive
Last updated in NPPESJan 27, 2022
Details
- NPI
- 1548913825
- Entity type
- Individual (NPI-1)
- Name
- Kenya Baker
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 27, 2022
- Certification date
- Jan 27, 2022
- Last updated
- Jan 27, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
3875 Austell Rd Ste 303Austell, GA 30106-1153
Phone 770-627-0970
Mailing address
1620 Devon DrAlbany, GA 31721-7118
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