NPI 1174976385 · live from the CMS NPI Registry
Kent Baxter
Home Health Aide in Davenport, IA. National Provider Identifier 1174976385, active.
NPI record
| NPI | 1174976385 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Home Health Aide 374U00000X |
| Practice location | 815 Cimarron Dr, Davenport, IA 52804 |
| Practice phone | 563-322-2735 |
| Enumerated | July 22, 2016 |
| Last updated | July 22, 2016 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Aide primary | 374U00000X | X000435255 (IA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.