Provider Demographics
NPI:1720763741
Name:BAALMAN, KAILYN KRISTINE (MD)
Entity Type:Individual
Prefix:DR
First Name:KAILYN
Middle Name:KRISTINE
Last Name:BAALMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:889 AUER LANDING RD
Mailing Address - Street 2:
Mailing Address - City:GOLDEN EAGLE
Mailing Address - State:IL
Mailing Address - Zip Code:62036-2292
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6420 THE CEDARS CT
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:MO
Practice Address - Zip Code:63016-2222
Practice Address - Country:US
Practice Address - Phone:636-274-2700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-19
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2023023529207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine