Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kendyl Baker

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104718113

Kendyl Baker is a Physician Assistant in Brandon, Florida. Qualified in 2025, 1 year ago. Registered with an NPI since 2025.

Years since qualifying
1
In the registry since
2025
Specialties on file
2

Practice location Address checks out

405 W Bloomingdale Ave
Brandon, FL 33511-7401
Phone: (813) 662-3376
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1104718113
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 16, 2025
Last updated in NPPESSeptember 2, 2025
Certification dateSeptember 2, 2025
Mailing address1305 Anchor Bend Dr, Ruskin, FL 33570-8086

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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