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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KANIKA LANESE BAKER

Active Sole Proprietor

KANIKA LANESE BAKER is a Prosthetic/Orthotic Supplier healthcare provider located in BROOKLYN PARK, Minnesota. NPI 1619578648 is currently active in the NPPES registry. Verify at CMS.

Prosthetic/Orthotic Supplier · BROOKLYN PARK, MN

Registration Details

NPI Number
1619578648
Provider Type
Individual
Gender
Female
NPI Issued
Nov 5, 2020 (5.7931691554637 yrs)
Last Updated
Nov 5, 2020
License
18438613 (MN)
Sole Proprietor
Yes

Practice Information

Address
7240 BROOKLYN BLVD STE 150
BROOKLYN PARK, MN, 554291274
Browse MN providers · Browse ZIP 55429
Phone
8885076235
Primary Specialty
Prosthetic/Orthotic Supplier
335E00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.