Individual
KENDAL R BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2401 UNIVERSITY AVE, MUNCIE, IN 47303-3428
(765) 747-3241
(765) 281-6567
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01057830A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001013517
ANTHEM PTAN
IN
01
—
000001289921
ANTHEM PTAN
IN
01
—
000001320405
ANTHEM PTAN
IN
01
—
000001320426
ANTHEM PTAN
IN
01
—
000001321136
ANTHEM PTAN
IN
05
—
200442110
—
IN
Enumeration date
07/20/2005
Last updated
05/09/2025
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