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Kelly Baker

Student in an Organized Health Care Education/Training Program in Oceanside, CA. Individual provider (NPI-1).

NPI number1972129898
StatusActive
Last updated in NPPESJun 17, 2020

Details

NPI
1972129898
Entity type
Individual (NPI-1)
Name
Kelly Baker
Sex
Female
Sole proprietor
No
Enumeration date
Jun 17, 2020
Certification date
Jun 17, 2020
Last updated
Jun 17, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

3605 Vista Way Ste 258
Oceanside, CA 92056-4565

Phone 760-758-1480

Mailing address

3605 Vista Way Ste 258
Oceanside, CA 92056-4565

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Student in an Organized Health Care Education/Training Program providers in Oceanside, CA

All 90 Student in an Organized Health Care Education/Training Program providers in Oceanside · All 4,206 providers in Oceanside

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