Provider Demographics
NPI:1902613987
Name:BAITER, KASEY (DOULA)
Entity type:Individual
Prefix:
First Name:KASEY
Middle Name:
Last Name:BAITER
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10206 WATSON RD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63127-1104
Mailing Address - Country:US
Mailing Address - Phone:636-575-1283
Mailing Address - Fax:
Practice Address - Street 1:10206 WATSON RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63127-1104
Practice Address - Country:US
Practice Address - Phone:636-575-1283
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-13
Last Update Date:2024-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula