Individual
KENNETH Y BAIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1175 E ARROW HWY, STE D, UPLAND, CA 91786-5525
(909) 920-3753
(909) 920-0875
Mailing address
1175 E ARROW HWY, STE D, UPLAND, CA 91786-5525
(909) 920-3753
(909) 920-0875
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
C42999
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C429990
—
CA
Enumeration date
12/27/2005
Last updated
07/08/2007
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