Kenneth Robert Cooke in Baltimore - Pediatric Hematology-oncology

Kenneth Robert Cooke - NPI 1104836733

Kenneth Robert Cooke is a Pediatric Hematology-oncology in Baltimore, Maryland. Kenneth Robert Cooke practices all healthcare services and medical treatments related to Pediatric Hematology-oncology. The NPI Number for Kenneth Robert Cooke is 1104836733. The last update date is 2023-04-04.

Kenneth Robert Cooke's current location address is Crb1 Rm 207, Baltimore, Maryland. You can contact this provider via phone number 4432872949 and fax number 4105027223. The mailing address for Kenneth Robert Cooke is Crb1 Rm 207, Baltimore, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth Robert Cooke
Address Crb1 Rm 207, Baltimore, Maryland
Phone Number 4432872949
Fax Number 4105027223
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1104836733
Provider Enumeration Date 2006-08-08
Last Updated Date 2023-04-04

Provider Mailing Address Detail

Address Crb1 Rm 207
City Baltimore
State Maryland (MD)
Post Code 212870001
Phone Number 4432872949
Fax Number 4105027223

Provider's Primary Taxonomy Detail

Speciality Pediatric Hematology-oncology
Taxonomy 2080P0207X
Licence No 4301074004
Definition:
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
233275 OH UNISON
4173898 MI --
5752459 OH AETNA
558054 OH ANTHEM
2146663 OH --
440046 OH WELLCARE
753959 OH BUCKEYE
932856559A GA --

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FAQs about Kenneth Robert Cooke

What is the Kenneth Robert Cooke's unique identification number?

The Kenneth Robert Cooke has been assigned the NPI (National Provider Identifier) Number 1104836733 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Kenneth Robert Cooke is geographically located?

The Kenneth Robert Cooke is physically situated at the following location: Crb1 Rm 207, Baltimore, MD, 212870001.

What is the area of specialization for Kenneth Robert Cooke, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Kenneth Robert Cooke is Pediatric Hematology-oncology, and the corresponding taxonomy code that categorizes this area of expertise is 2080P0207X.

On what date did the Centers for Medicare & Medicaid Services assign the 1104836733 to Kenneth Robert Cooke?

The Centers for Medicare & Medicaid Services assigned the 1104836733 to Kenneth Robert Cooke on 2006-08-08.

As of what date were the details related to Kenneth Robert Cooke most recently updated or revised?

The information pertaining to Kenneth Robert Cooke, including its address, specialty, and other relevant details, was last updated or revised on 2023-04-04.

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