Cooke, Kenneth Robert
Cooke, Kenneth Robert is an individual health care provider with primary practice located at Crb1 Rm 207 1650 Orleans Street,, Baltimore MD 21287-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology. Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology is his primary health care specialty. Cooke, Kenneth Robert can be contacted via phone (443) 287-2949.Contact Information
Primary practice address
Crb1 Rm 207 1650 Orleans Street,
Baltimore MD 21287-0001
Phone: (443) 287-2949
Fax: (410) 502-7223
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301074004 | Michigan |
| Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | 4301074004 | Michigan |
| Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | 35090984 | Ohio |
| Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | D76204 | Maryland |
Profile Details
| NPI number | 1104836733 |
|---|---|
| LBN Legal business name | Cooke, Kenneth Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 8th, 2006 |
| Last updated | Apr 4th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104836733 | NPPES |
| Ohio | Other | 000000233275 | UNISON |
| Ohio | MEDICAID | 4173898 | UNISON |
| Ohio | Other | 5752459 | UNISON |
| Ohio | Other | 000000558054 | UNISON |
| Ohio | MEDICAID | 2146663 | UNISON |
| Ohio | Other | 440046 | UNISON |
| Ohio | Other | 753959 | UNISON |
| Ohio | MEDICAID | 932856559A | UNISON |
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