KENNETH R COOKE, MD, Pediatric Hematology-Oncology BALTIMORE, MD

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	Specialty Code	Provider Type
Pediatric Hematology-Oncology	2080P0207X	37	Physician/Pediatric Medicine
Pediatrics	208000000X	37	Physician/Pediatric Medicine

Indicates primary specialty

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NPI Profile & details for KENNETH R COOKE · (Male)

NPI Number	`1104836733`
Status	Active
Credentials	MD
Entity	Individual
Enumeration date	08/08/2006
Last updated	04/04/2023 - About 3 years ago
Sole proprietor ¹	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(s)	Not Available

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

Contact Information

Specialty

Pediatric Hematology-Oncology

Pediatrics

NPI Profile & details for KENNETH R COOKE · (Male)

Reviews for KENNETH R COOKE

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