| Doctor Name: | MRS. KAREN F BAXLEY |
| NPI Number: | 1336146380 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | PA9101937 |
| Business Practice Address: | 877 3rd St Suite 4 Chipley, FL - 324281827 |
| Business Phone Number: | 8506384555 |
| Business Fax Number: | |
| Mailing Address: | Po Box 9671, DAYTONA BEACH |
| State: | FL |
| Postal Code: | 321209671 |
| Phone Number: | 3866767130 |
| Fax Number: | 3866767125 |
| NPI Enumeration Date: | 07/06/2005 |
| NPI Last Update Date: | 04/11/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA9101937 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |