Provider Demographics
NPI:1053936526
Name:BAIER, KYRA SHAE (PA-C)
Entity type:Individual
Prefix:
First Name:KYRA
Middle Name:SHAE
Last Name:BAIER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1777 US HIGHWAY 60 W TRLR 4
Mailing Address - Street 2:
Mailing Address - City:MOREHEAD
Mailing Address - State:KY
Mailing Address - Zip Code:40351-8938
Mailing Address - Country:US
Mailing Address - Phone:606-316-0428
Mailing Address - Fax:
Practice Address - Street 1:1777 US HIGHWAY 60 W TRLR 4
Practice Address - Street 2:
Practice Address - City:MOREHEAD
Practice Address - State:KY
Practice Address - Zip Code:40351-8938
Practice Address - Country:US
Practice Address - Phone:606-316-0428
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-10
Last Update Date:2020-06-10
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant