Individual
KENNETH ROBERT COOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CRB1 RM 207, 1650 ORLEANS STREET,, BALTIMORE, MD 21287-0001
(443) 287-2949
(410) 502-7223
Mailing address
6201 GREENLEIGH AVE, BALTIMORE, MD 21220-2004
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301074004
MI
2080P0207X
Pediatric Hematology & Oncology Physician
35090984
OH
2080P0207X
Pediatric Hematology & Oncology Physician
4301074004
MI
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
D76204
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000233275
UNISON
OH
01
—
000000558054
ANTHEM
OH
05
—
2146663
—
OH
05
—
4173898
—
MI
01
—
440046
WELLCARE
OH
01
—
5752459
AETNA
OH
01
—
753959
BUCKEYE
OH
05
—
932856559A
—
GA
Enumeration date
08/08/2006
Last updated
04/04/2023
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