Healthcare Provider Details

I. General information

NPI: 1588009518
Provider Name (Legal Business Name): KENDRA ANNE BAIRD RN, HN-BC, NBC-HWC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/03/2013
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

483 MAIN ST
CANTON NC
28716-4481
US

IV. Provider business mailing address

3543 WHITE OAK RD
WAYNESVILLE NC
28785-6450
US

V. Phone/Fax

Practice location:
  • Phone: 828-400-9359
  • Fax:
Mailing address:
  • Phone: 828-400-9359
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number353615
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: