# DR. KENNETH JOHN BAKER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1871556084
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 0101274657 | VA | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | 28597 | WV | — |
| 207V00000X | Obstetrics & Gynecology Physician | 28822 | SC | — |
| 207V00000X | Obstetrics & Gynecology Physician | 39390 | NC | — |

## Other

- **Enumeration date:** 04/10/2006
- **Last updated:** 07/17/2024

## 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 |