NPI 1043693104 · live from the CMS NPI Registry
Kimberly Baker, M.D.
Family Medicine in Bethany, MO. National Provider Identifier 1043693104, active.
NPI record
| NPI | 1043693104 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 3202 Miller St, Bethany, MO 64424 |
| Practice phone | 660-425-3154 |
| Mailing address | 27th Medical Group/Sghc, 224 W D.L. Ingram Ave, Cannon Afb, NM 88103 |
| Enumerated | July 7, 2015 |
| Last updated | June 24, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | 2022013209 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.