Provider Demographics
NPI:1699505560
Name:BAIRD, KELSEY JEAN (NP)
Entity type:Individual
Prefix:
First Name:KELSEY
Middle Name:JEAN
Last Name:BAIRD
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2207 CHASTAIN DR NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-4169
Mailing Address - Country:US
Mailing Address - Phone:561-762-5176
Mailing Address - Fax:
Practice Address - Street 1:227 SANDY SPRINGS PL STE 434
Practice Address - Street 2:
Practice Address - City:SANDY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30328-5921
Practice Address - Country:US
Practice Address - Phone:678-974-5684
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-06
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN312251363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily