MEDICARE: DR. KATHLEEN M. BALDWIN ANP, GNP, CNS

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	163WG0600X	Gerontology Registered Nurse	439925	TX
2	363LG0600X	Gerontology Nurse Practitioner	439925	TX
3	363LA2200X	Adult Health Nurse Practitioner	439925	TX
4	364SA2200X	Adult Health Clinical Nurse Specialist	439925	TX

General Provider Information

NPI Number	:	1497758601
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATHLEEN M. BALDWIN ANP, GNP, CNS

Provider Business Mailing Address
First Line	:	7029 BRIERHILL CT
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76132-7111
Country	:	US
Telephone Number	:	817-257-6748
Fax Number	:	817-257-7944

Provider Business Practice Location Address
First Line	:	2800 WEST BOWIE
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76129-0001
Country	:	US
Telephone Number	:	817-257-6748
Fax Number	:	817-257-7944

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	09/11/2025

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