Doctor Name: | KERRI LYNN BADEN |
NPI Number: | 1073508735 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 0150453A |
Business Practice Address: | 307 Boatner Rd Eglin Afb, FL - 325421391 |
Business Phone Number: | 8508839252 |
Business Fax Number: | |
Mailing Address: | 307 Boatner Rd, EGLIN AFB |
State: | FL |
Postal Code: | 325421302 |
Phone Number: | 8508838535 |
Fax Number: | |
NPI Enumeration Date: | 09/19/2005 |
NPI Last Update Date: | 04/05/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 0150453A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |