Doctor Name: | MRS. KELLY ANN BAIRD-COX |
NPI Number: | 1003034521 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, MSN, CPNP |
License Number: | 4704165997 |
Business Practice Address: | 4801 Willoughby Rd Suite 3 Holt, MI - 488421000 |
Business Phone Number: | 5172686627 |
Business Fax Number: | |
Mailing Address: | 44733 Fenwick Dr, CANTON |
State: | MI |
Postal Code: | 481883245 |
Phone Number: | 7343942120 |
Fax Number: | |
NPI Enumeration Date: | 04/22/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 4704165997 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |