Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251H1200X | Hand | PT00793 | RI |
NPI | 1932124609 |
---|---|
Provider Name | Kristen J Baxter |
First Address | N. Kingstown, RI 02852 |
Second Address | North Kingstown, RI 02852-4238 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2006 |
Last Update Date | 19/11/2021 |