Individual provider · NPI-1

Kristen Nicole Baker, M.D.

Emergency Medicine · Daytona Beach, FL

NPI number1902291941
StatusActive
Last updated in NPPESJun 26, 2018

Details

NPI
1902291941
Entity type
Individual (NPI-1)
Name
Kristen Nicole Baker
Credential
M.D.
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 6, 2015
Last updated
Jun 26, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency MedicineME136588FLYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

303 N Clyde Morris Blvd
Daytona Beach, FL 32114

Phone 386-425-2285 · Fax 386-425-7522

Mailing address

303 N Clyde Morris Blvd
Daytona Beach, FL 32114-2709

Phone 386-226-4590 · Fax 386-226-3371

Other practice locations

4301 West Markham, Slot 584
Little Rock, AR 72205-7199

Phone 501-686-5356

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