# KENNETH L BALDWIN M D INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154870509
- **Authorized official:** MRS. TINA MARIE GARCIA (ADMINISTRATION)
- **Authorized official phone:** (805) 546-8662

## Contact information

- **Practice address:** 1304 ELLA ST, SUITE B-1, SAN LUIS OBISPO, CA 93401-4100
- **Practice address phone:** (805) 546-8662
- **Practice address fax:** (805) 546-8665
- **Mailing address:** 1304 ELLA ST, SUITE B, SAN LUIS OBISPO, CA 93401-4100
- **Mailing address phone:** (805) 546-8662
- **Mailing address fax:** (805) 546-8665

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | G34268 | CA | Yes |

## Other

- **Enumeration date:** 09/27/2016
- **Last updated:** 09/27/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | FF235A | PTAN | CA |