Individual
KENNETH BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
625 AFRICA RD STE 200, WESTERVILLE, OH 43082-9808
(614) 714-0985
(614) 714-0986
Mailing address
625 AFRICA RD STE 200, WESTERVILLE, OH 43082-9808
(614) 714-0985
(614) 714-0986
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35067314
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2066928
—
OH
Enumeration date
08/22/2006
Last updated
10/04/2018
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