Provider Demographics
NPI:1215186531
Name:BAKER, KRYSTIN CALHOUN (MD)
Entity Type:Individual
Prefix:DR
First Name:KRYSTIN
Middle Name:CALHOUN
Last Name:BAKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:KRYSTIN
Other - Middle Name:RENEE
Other - Last Name:CALHOUN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1100 N 19TH ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79601-2344
Mailing Address - Country:US
Mailing Address - Phone:325-670-6190
Mailing Address - Fax:325-670-6191
Practice Address - Street 1:1100 N 19TH ST
Practice Address - Street 2:SUITE 200
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79601-2344
Practice Address - Country:US
Practice Address - Phone:325-670-6190
Practice Address - Fax:325-670-6191
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-10
Last Update Date:2008-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN06232084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology