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Kenneth J Baker
Gerontology Nurse Practitioner in St Petersburg, Florida
NPI 1649911785

Kenneth J Baker is a Gerontology Nurse Practitioner based in St Petersburg, FL and is specialized in Gerontology. Kenneth J Baker practices in St Petersburg, FL. The NPI Number for Kenneth J Baker is 1649911785 and holds a License No. 26NJ01286000 (Florida).

The current practice location address for Kenneth J Baker is 140 Fountain Pkwy N Ste 210, St Petersburg, FL and can be reached out via phone at 727-796-2300.

Location: 140 Fountain Pkwy N Ste 210, St Petersburg, FL, 33716-1285
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649911785
Provider Name
Kenneth J Baker
Credential
Provider Entity Type
Individual
Gender
Male
Address
140 Fountain Pkwy N Ste 210, St Petersburg, FL, 33716-1285
Phone Number
727-796-2300
Fax Number
Provider Enumeration Date
04/05/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
140 Fountain Pkwy N Ste 210
City
St Petersburg
State
Florida
Zip
33716-1285
Phone Number
727-796-2300
Fax Number
person
Provider Business Mailing Address Details
Address
140 Fountain Pkwy N Ste 210
City
St Petersburg
State
Florida
Zip
33716-1285
Phone Number
727-796-2300
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
26NJ01286000 (New Jersey)
Definition
Definition to come...
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