Provider Demographics
NPI:1013900539
Name:BAIRD, KRISTIN M (MD)
Entity type:Individual
Prefix:DR
First Name:KRISTIN
Middle Name:M
Last Name:BAIRD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1551 PROFESSIONAL LN
Mailing Address - Street 2:SUITE 135
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80501-6972
Mailing Address - Country:US
Mailing Address - Phone:303-532-2810
Mailing Address - Fax:303-532-2816
Practice Address - Street 1:1551 PROFESSIONAL LN
Practice Address - Street 2:SUITE 135
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-6972
Practice Address - Country:US
Practice Address - Phone:303-532-2810
Practice Address - Fax:303-532-2816
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-30
Last Update Date:2011-11-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO40150207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO58659099Medicaid
CO70016791OtherRAILROAD MEDICARE
COH57526Medicare UPIN
CO70016791OtherRAILROAD MEDICARE