KELLY BAXTER MD
Individual Provider (NPI-1)
Active
Family Medicine
Provider Information
- NPI Number
1407351224- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 455 W BROADWAY AVE, JACKSON, WY, 830018639
- Phone
- (307) 733-6111
- Fax
- (307) 739-6105
Specialties & Taxonomies
Family Medicine
License: CO #DR.0062940
Family Medicine
Primary License: WY #13126A