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Physician Compare National (NPI:1861702466)

HEALTHCARE PROVIDER: KENNETH CHARLES BAKER JR. DC

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1861702466
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 6709068547
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20110315000684
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name BAKER
Individual professional last name
Provider First Name KENNETH
Individual professional first name
Provider Middle Name CHARLES
Individual professional middle name
Provider Name Suffix Text JR.
The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name PALMER COLLEGE CHIROPRACTIC - DAVENPORT
Individual professional's medical school
Graduation Year 2010
Individual professional's medical school graduation year
Primary Specialty CHIROPRACTIC
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 1785 LOUCKS RD
Group Practice or individual's line 1 address
City YORK
Group Practice or individual's city
State PA
Group Practice or individual's state
Zip Code 174089710
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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