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Individual

DR. KENNETH E BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5151 N 9TH AVE, PENSACOLA, FL 32504-8721
(850) 416-7000
Mailing address
333 CEDAR ST, NEW HAVEN, CT 06510-3206
(203) 785-5253

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MD11832
RI
2085R0202X
Diagnostic Radiology Physician
MD423472
PA
2085R0202X
Diagnostic Radiology Physician
Primary
ME125081
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1198-5
BCBS OFFICE TGR
RI
01
1570-5
BCBS KENT TGR
RI
01
16-00137
UHC TGR
RI
01
2203
NHP TGR
RI
01
412652
BLUE CHIP TGR
RI
01
494201
TUFTS TGR
RI
01
50356624
UNICARE LIFE & HLTH TGR
RI
05
7057871
RI
01
7417697
AETNA OFFICE TGR
RI
01
756624
CONNECTICARE INC TGR
RI
01
AA42348
HARVARD PILGRIM TGR
RI
01
P00272151
RR MEDICARE TGR
RI
Enumeration date
08/17/2006
Last updated
03/20/2024
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