| Doctor Name: | KATHERYN ANN BAKER |
| NPI Number: | 1003050808 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | R121393 |
| Business Practice Address: | 213 Garrisonway Fruitland, MD - 21826 |
| Business Phone Number: | 5024135841 |
| Business Fax Number: | |
| Mailing Address: | C Co 302 Bsb Attn: Tmc, Unit 15609 APO |
| State: | AP |
| Postal Code: | 96224 |
| Phone Number: | 5024135841 |
| Fax Number: | |
| NPI Enumeration Date: | 04/23/2009 |
| NPI Last Update Date: | 04/23/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1500X |
| License Number: | R121393 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |