KENNETH ROBERT COOKE MD NPI 1104836733

NPI Information

Kenneth Robert Cooke, MD is a pediatric hematology-oncology pediatrics in Baltimore, MD. The provider is a pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. Kenneth Robert Cooke, MD NPI is 1104836733. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

CRB1 RM 207
1650 ORLEANS STREET,
BALTIMORE, MD
ZIP 21287-001
Phone: (443) 287-2949
Fax: (410) 502-7223

The NPI 1104836733 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/8/2006 and was last updated on 4/4/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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