Kelly Baker, PAC

NPI #1043663818 in Milwaukee, Wisconsin

Provider Information

NPI Number: 1043663818
Entity Type: Individual
Name: Kelly Baker, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Jul 18, 2016
Last Updated: Jan 15, 2021

Practice Location

Address: 9000 W WISCONSIN AVE
City: Milwaukee
State: Wisconsin
ZIP Code: 53226-4874
Phone: (414) 266-6457

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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