Individual
KENNETH J BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
140 FOUNTAIN PKWY N STE 210, ST PETERSBURG, FL 33716-1285
(727) 796-2300
Mailing address
140 FOUNTAIN PKWY N STE 210, ST PETERSBURG, FL 33716-1285
(727) 796-2300
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ01286000
NJ
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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