Baker, Kenneth John
Baker, Kenneth John is an individual health care provider with primary practice located at 16000 Johnston Memorial Dr Ste 200 , Abingdon VA 24211-7664. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Baker, Kenneth John can be contacted via phone (276) 628-4335.Contact Information
Primary practice address
16000 Johnston Memorial Dr Ste 200
Abingdon VA 24211-7664
Phone: (276) 628-4335
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 28597 | West Virginia |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 28822 | South Carolina |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 39390 | North Carolina |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 0101274657 | Virginia |
Profile Details
| NPI number | 1871556084 |
|---|---|
| LBN Legal business name | Baker, Kenneth John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 2006 |
| Last updated | Jul 17th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871556084 | NPPES |
| South Carolina | Other | 28822 | SC LICENSE |
| South Carolina | Other | 39390 | SC LICENSE |
| South Carolina | Other | SC34823365 | SC LICENSE |
| South Carolina | MEDICAID | N39390 | SC LICENSE |
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