| Doctor Name: | MR. KENNETH JOSEPH BARON |
| NPI Number: | 1205808516 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | PA 3692 |
| Business Practice Address: | 4102 Pinion Dr 10th Medical Group Usaf Academy, CO - 808402502 |
| Business Phone Number: | 7193335042 |
| Business Fax Number: | |
| Mailing Address: | 4102 Pinion Dr, 10th Medical Group USAF ACADEMY |
| State: | CO |
| Postal Code: | 808402502 |
| Phone Number: | 7193335042 |
| Fax Number: | |
| NPI Enumeration Date: | 02/02/2006 |
| NPI Last Update Date: | 09/19/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA 3692 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |