MR. Kenneth Earl Baker, MS, ATC/R
NPI #1134101876 in Mcminnville, Oregon
Provider Information
- NPI Number
- 1134101876
- Entity Type
- Individual
- Name
- MR. Kenneth Earl Baker, MS, ATC/R
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- MS, ATC/R
- Enumeration Date
- Nov 17, 2005
- Last Updated
- Jul 26, 2016
Practice Location
- Address
- 2835 NE DESTINY DR
- City
- Mcminnville
- State
- Oregon
- ZIP Code
- 97128-8885
- Phone
- (503) 476-4321
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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