Individual provider · Type 1 NPI

Kendyl Baker

Physician Assistant · Brandon, FL

NPI number 1104718113 Active

Practice location

405 W Bloomingdale Ave
Brandon, FL 33511-7401

Mailing address

1305 Anchor Bend Dr
Ruskin, FL 33570-8086

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1104718113

Kendyl Baker's National Provider Identifier is 1104718113, issued on Jul 16, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Brandon, FL. The record was last updated on Sep 2, 2025.