Healthcare Provider Details

I. General information

NPI: 1740350248
Provider Name (Legal Business Name): ANGELA M BAIRD PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/09/2006
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5231 NW VALENCIA RD
SILVER LAKE KS
66539-9330
US

IV. Provider business mailing address

5231 NW VALENCIA RD
SILVER LAKE KS
66539-9330
US

V. Phone/Fax

Practice location:
  • Phone: 785-273-7571
  • Fax:
Mailing address:
  • Phone: 785-273-7571
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number15-00431
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: