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Contact Information

KATHERINE M BAIRD, PAC
112 MANSFIELD AVE
WILLIMANTIC, CT06226-2045
 Phone: 860-423-6410
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KATHERINE M BAIRD · (Female)

NPI # 1962557470
Status Active
Credentials PAC
Entity Individual
Enumeration date 01/24/2007
Last updated 06/26/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • AL License # PA-591
  • CT License # 002902
  • NC License # 001000790
Hospital affiliation(s)
  • JOHNSON MEMORIAL HOSPITAL - (Acute Care)
    201 CHESTNUT HILL RD
    STAFFORD SPRINGS, CT 06076
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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