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Individual
DR. KENNETH JOHN BAKER
Active
Individual
DR. KENNETH JOHN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101274657
VA
207V00000X
Obstetrics & Gynecology Physician
28597
WV
207V00000X
Obstetrics & Gynecology Physician
28822
SC
207V00000X
Obstetrics & Gynecology Physician
39390
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28822
SC LICENSE
SC
01
—
39390
NC LICENSE
NC
05
—
N39390
—
SC
01
—
SC34823365
MEDICARE PIN
SC
Enumeration date
04/10/2006
Last updated
07/17/2024
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