KENNETH J BAKER

ST PETERSBURG, FL
NPI1649911785
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: NJ  26NJ01286000)
Enumeration Date2022-04-05
Last Update Date2022-04-05
Business Address
KENNETH J BAKER
140 FOUNTAIN PKWY N STE 210
ST PETERSBURG, FL 33716-1285
Phone number: 727-796-2300
Mailing Address
KENNETH J BAKER
140 FOUNTAIN PKWY N STE 210
ST PETERSBURG, FL 33716-1285
Phone number: 727-796-2300