Provider Demographics
NPI:1457396954
Name:BAIRD, KRISTIN (MD)
Entity Type:Individual
Prefix:DR
First Name:KRISTIN
Middle Name:
Last Name:BAIRD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PEDIATRIC ONCOLOGY BRANCH, NCI
Mailing Address - Street 2:BUILDING 10 CRC, ROOM 1W-3750, MSC 1104
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20892-1104
Mailing Address - Country:US
Mailing Address - Phone:301-451-0391
Mailing Address - Fax:301-451-7010
Practice Address - Street 1:PEDIATRIC ONCOLOGY BRANCH, NCI
Practice Address - Street 2:BUILDING 10 CRC, ROOM 1W-3750, MSC 1104
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-1104
Practice Address - Country:US
Practice Address - Phone:301-451-0391
Practice Address - Fax:301-451-7010
Is Sole Proprietor?:No
Enumeration Date:2006-06-18
Last Update Date:2008-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00574232080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD403489900Medicaid
MD014027B82Medicare ID - Type Unspecified
MD403489900Medicaid