Individual provider · Type 1 NPI
Kenneth Robert Cooke, MD
Pediatric Hematology & Oncology Physician · Baltimore, MD
NPI number
1104836733
Active
Practice location
CRB1 Rm 207, 1650 Orleans Street,
Baltimore, MD 21287-0001
Fax (410) 502-7223
Mailing address
6201 Greenleigh Ave
Baltimore, MD 21220-2004
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics Physician | 208000000X | 4301074004 (MI) |
| Pediatric Hematology & Oncology Physician | 2080P0207X | 4301074004 (MI) |
| Pediatric Hematology & Oncology Physician | 2080P0207X | 35090984 (OH) |
| Pediatric Hematology & Oncology Physician Primary | 2080P0207X | D76204 (MD) |
Pediatric Hematology & Oncology Physician: A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
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About NPI 1104836733
Kenneth Robert Cooke, MD's National Provider Identifier is 1104836733, issued on Aug 8, 2006. The primary taxonomy on file is Pediatric Hematology & Oncology Physician (2080P0207X), and the practice location is in Baltimore, MD. The record was last updated on Apr 4, 2023.