Kenneth Robert Cooke
MD | Pediatric Hematology-Oncology | Male
Kenneth Robert Cooke, MD is a Baltimore, Maryland based Pediatric doctor with medical specialization in
Pediatric Hematology-Oncology.
Current practice location of Kenneth Robert Cooke is
Crb1 Rm 207, 1650 Orleans Street,, Baltimore, Maryland - 21287-0001. He can be contacted on phone at
443-287-2949 and fax number 410-502-7223.
Kenneth Robert Cooke is a sole proprietor of his business.
NPI number (Unique professional ID) for Kenneth Robert Cooke is
1104836733 which was assigned by NPPES on 08 Aug, 2006 and it was last updated on 04 Apr, 2023.
Kenneth Robert Cooke license number is
D76204 for Pediatrics, Pediatric Hematology-Oncology (2080P0207X) in Maryland.
Kenneth Robert Cooke is trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Complete Profile:
Kenneth Robert Cooke basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics, Pediatric Hematology-Oncology |
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| Provider Name : | Kenneth Robert Cooke |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Kenneth Robert Cooke address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | Crb1 Rm 207, 1650 Orleans Street,
Baltimore, MD, 21287-0001
United States |
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| Phone Number : | 443-287-2949 |
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| Fax Number : | 410-502-7223 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1104836733 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 08 Aug, 2006 |
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| Last Updated On : | 04 Apr, 2023 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kenneth Robert Cooke are as mentioned. Primary taxonomy code for Kenneth Robert Cooke, MD is
2080P0207X (Pediatrics, Pediatric Hematology-Oncology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 4301074004 | MI |
| 2080P0207X | Pediatrics, Pediatric Hematology-Oncology | No | 4301074004 | MI |
| 2080P0207X | Pediatrics, Pediatric Hematology-Oncology | No | 35090984 | OH |
| 2080P0207X | Pediatrics, Pediatric Hematology-Oncology | Yes | D76204 | MD |
Legacy Identifiers:
Other legacy medical identifiers of Kenneth Robert Cooke such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 000000233275 | Other (non-Medicare) | OH | UNISON |
| 000000558054 | Other (non-Medicare) | OH | ANTHEM |
| 2146663 | MEDICAID | OH | |
| 4173898 | MEDICAID | MI | |
| 440046 | Other (non-Medicare) | OH | WELLCARE |
| 5752459 | Other (non-Medicare) | OH | AETNA |
| 753959 | Other (non-Medicare) | OH | BUCKEYE |
| 932856559A | MEDICAID | GA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 6201 Greenleigh Ave
Baltimore, MD, 21220-2004
United States |
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Business Location:
Patients can refer following map for directions to
Kenneth Robert Cooke practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.