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KELLY M BAKER
Addiction (Substance Use Disorder)

NPI Profile for KELLY M BAKER in PITTSFIELD, IL.

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Contact Information

KELLY M BAKER
121 S MADISON
PITTSFIELD, IL  62363
 Phone: 217-285-4436
 Fax: 217-285-2804
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

 101YA0400X
Indicates primary specialty

NPI Profile & details for KELLY M BAKER · (Female)

NPI # 1841494085
Status Active
Credentials
Entity Individual
Enumeration date 06/12/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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