Individual
DR. KEVIN SCOTT BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
825 EASTLAKE AVE E, SEATTLE, WA 98109-4405
(206) 520-5307
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
40375
MN
2080P0207X
Pediatric Hematology & Oncology Physician
40375
MN
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
MD60067855
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0052190
—
MT
01
—
0247291
L&I
WA
01
—
1015998
PREFERRED ONE
MN
01
—
14R61BA
BCBS
MN
05
—
1932673
—
IA
05
—
2050779602
—
KS
05
—
32393700
—
WI
01
—
36-07131
MEDICA
MN
05
—
41184394337
—
NE
01
—
785171
ARAZ
MN
05
—
803822800
—
MN
05
—
8537573
—
WA
05
—
KB27908
—
RI
Enumeration date
06/19/2006
Last updated
04/29/2009
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