NPI 1114957370 · live from the CMS NPI Registry
Kenda Gale Baker, PA
Physician Assistant, Medical in Stillwater, OK. National Provider Identifier 1114957370, active.
NPI record
| NPI | 1114957370 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Medical 363AM0700X |
| Practice location | 1329 S Sangre Rd, Stillwater, OK 74074 |
| Practice phone | 405-372-7575 |
| Mailing address | Po Box 1537, Stillwater, OK 74076 |
| Enumerated | July 4, 2006 |
| Last updated | December 13, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Medical primary | 363AM0700X | 635 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.