Most Relevant Information
Provider Data
| NPI Number: | 1003452889 |
| Provider Name: | KEVIN BAER APRN, PMHNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | 2019042805 |
Most Important Dates
| Enumeration Date: | 11/27/2019 |
| Last Updated: | 11/27/2019 |
Provider Practice Location
5325 FARAON ST
SAINT JOSEPH
MO
645063488
Practice Location Phone/Fax
| Phone: | 8162717273 |
| Fax: |
Provider Mailing Location
3519 WELLINGTON DR
BLOOMINGTON
IN
474018824
Provider Mailing Phone/Fax
| Phone: | 8123228899 |
| Fax: |