Kenneth J Baker
Kenneth J Baker is a Gerontology Nurse Practitioner in St Petersburg, Florida. Licensed in New Jersey. Registered with an NPI since 2022.
- Licensed in
- NJ
- In the registry since
- 2022
Practice location Address checks out
140 Fountain Pkwy N Ste 210St Petersburg, FL 33716-1285
Phone: (727) 796-2300
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Specialties & licences
| Gerontology Nurse Practitioner (primary) | Taxonomy 363LG0600X · Licence 26NJ01286000 (NJ) |
|---|
Record details
| NPI number | 1649911785 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 5, 2022 |
| Last updated in NPPES | April 5, 2022 |
| Certification date | April 4, 2022 |
| Mailing address | 140 Fountain Pkwy N Ste 210, St Petersburg, FL 33716-1285 |
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