Individual
KENNETH JOHN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
25 MAIN ST, NORRIDGEWOCK, ME 04957-0418
(207) 634-3285
(207) 634-4009
Mailing address
PO 418, NORRIDGEWOCK, ME 04957-0418
(207) 634-3285
(207) 634-4009
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
970
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000213020
—
ME
Enumeration date
10/24/2006
Last updated
11/01/2007
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