Baker, Kenneth C

Baker, Kenneth C is an individual health care provider with primary practice located at 600 N Park St , Brenham TX 77833. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Baker, Kenneth C can be contacted via phone (979) 836-6153.

Contact Information

Primary practice address
600 N Park St Brenham TX 77833
Phone: (979) 836-6153
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X F3730 Texas

Profile Details

NPI number 1619970720
LBN Legal business name Baker, Kenneth C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Sep 19th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619970720 NPPES
Texas MEDICAID 100655303
Texas Other 101821
Texas Other 4535342
Texas Other 10008791

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