MEDICARE: KENNETH E BAIRD MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	H5658	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194755256
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENNETH E BAIRD MD

Provider Business Mailing Address
First Line	:	3012 E HEBRON PKWY STE 110
Second Line	:
City	:	CARROLLTON
State	:	TX
Zip	:	75010-4461
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3012 E HEBRON PKWY STE 110
Second Line	:
City	:	CARROLLTON
State	:	TX
Zip	:	75010-4461
Country	:	US
Telephone Number	:	972-820-6900
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/04/2006
Last Update Date	:	04/20/2017

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Directions to “ KENNETH E BAIRD MD” Practice Location

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