Provider Demographics
NPI:1396874749
Name:BAIRD, KRISTIN M (RPH)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:M
Last Name:BAIRD
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 SPY GLASS HILL RD
Mailing Address - Street 2:
Mailing Address - City:BATH
Mailing Address - State:PA
Mailing Address - Zip Code:18014-1636
Mailing Address - Country:US
Mailing Address - Phone:610-837-5989
Mailing Address - Fax:
Practice Address - Street 1:102 EASTON RD
Practice Address - Street 2:
Practice Address - City:NAZARETH
Practice Address - State:PA
Practice Address - Zip Code:18064-3011
Practice Address - Country:US
Practice Address - Phone:610-759-6006
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP039053L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist