Individual
KENNETH JOSEPH BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1240 NEW SCOTLAND RD, ST. PETER'S HOSPITAL MEDICAL ARTS @ SLINGERLANDS, SLINGERLANDS, NY 12159-9222
(518) 475-7000
(518) 475-7050
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 525-5634
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
209620
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01856308
—
NY
Enumeration date
06/30/2005
Last updated
05/06/2021
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