NPI 1134101876

Kenneth Earl Baker, MSATCR

Practitioner Athletic Trainer McMinnville, OR

Practice location

Address: 2835 NE Destiny Dr, McMinnville, OR 97128-8885
Phone: (503) 476-4321

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT-AT-746539 (OR)

Other Specialist/Technologist providers in Oregon →

Registry record

NPI: 1134101876
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Nov 2005
Record last updated: 26 Jul 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.