MEDICARE: BAIRD HEALTH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC1900X	Counseling Psychologist

General Provider Information

NPI Number	:	1427640531
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAIRD HEALTH LLC

Provider Business Mailing Address
First Line	:	751 E 63RD ST STE 212
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64110-3372
Country	:	US
Telephone Number	:	816-730-9378
Fax Number	:	816-753-3808

Provider Business Practice Location Address
First Line	:	751 E 63RD ST STE 212
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64110-3372
Country	:	US
Telephone Number	:	816-730-9378
Fax Number	:	816-753-3808

Authorized Official
Title or Position	:	OWNER
Name	:	CHERYL J BAIRD
Credential	:	PSYCHOLOGIST
Telephone Number	:	816-730-9378

Provider Enumeration Date	:	02/09/2021
Last Update Date	:	02/09/2021

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Directions to “BAIRD HEALTH LLC ” Practice Location

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