Individual provider · NPI-1

Dr. Kevin Scott Baker, MD

Radiology, Diagnostic Radiology · Stony Brook, NY

NPI number1053639484
StatusActive
Last updated in NPPESJan 11, 2022

Details

NPI
1053639484
Entity type
Individual (NPI-1)
Name
Dr. Kevin Scott Baker
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
May 10, 2010
Certification date
Jan 11, 2022
Last updated
Jan 11, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0202X Radiology, Diagnostic Radiology56282KYYes
2085R0202X Radiology, Diagnostic Radiology277475NY
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

Hsc Level 4 Rm 120
Department Of Radiology
Stony Brook, NY 11794-8460

Phone 631-444-5400 · Fax 631-444-7538

Mailing address

Stony Brook Medicine Hsc Level 4 Rm 120
Department Of Radiology
Stony Brook, NY 11794-8460

Phone 631-444-5400 · Fax 631-444-7538

Other practice locations

800 Rose St
Lexington, KY 40536-8460

Phone 859-323-2222 · Fax 859-323-5090

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