National Provider Identifier Database

KENNETH R COOKE, MD – NPI #1104836733
Pediatric Hematology-Oncology

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

Contact Information

KENNETH R COOKE, MD
CRB1 RM 207
1650 ORLEANS STREET,
BALTIMORE, MD  21287-0001
Phone: 443-287-2949
Fax: 410-502-7223
Website:
Specialty Taxonomy Code
* Pediatric Hematology-Oncology 2080P0207X
Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for KENNETH R COOKE

NPI Number 1104836733
Credentials MD
Entity Individual
Enumeration date 08/08/2006
Last updated 04/04/2023 - About 3 years ago
Sole proprietor1 No
Identifiers
  • MD License #: D76204
  • MI License #: 4301074004
  • OH License #: 35090984
  • GA Medicaid: 932856559A
  • MI Medicaid: 4173898
  • OH Medicaid: 2146663
  • OH Other: 5752459 AETNA
  • OH Other: 000000558054 ANTHEM
  • OH Other: 753959 BUCKEYE
  • OH Other: 000000233275 UNISON
  • OH Other: 440046 WELLCARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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