Kendyl Baker

Physician Assistant · Brandon, FL

Individual Active NPI

NPI number 1104718113

Practice location

405 W Bloomingdale Ave
Brandon, FL 33511-7401
Phone
(813) 662-3376

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NPI record

NPI
1104718113
Entity type
Individual (Type 1)
Enumeration date
July 16, 2025
Last updated
September 2, 2025
Certified
September 2, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X — —
Student in an Organized Health Care Education/Training Program 390200000X — —

Mailing address

1305 Anchor Bend Dr
Ruskin, FL 33570-8086
Phone
(727) 482-2298
Fax
(727) 482-2298

About Kendyl Baker

Kendyl Baker is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 405 W Bloomingdale Ave, Brandon, FL 33511-7401. The NPI number 1104718113 was assigned on July 16, 2025 and the record was last updated on September 2, 2025.

Frequently asked questions

What is the NPI number of Kendyl Baker?

The NPI number is 1104718113.

What is the phone number of Kendyl Baker?

The phone number listed for the practice location is (813) 662-3376.

Where is Kendyl Baker located?

405 W Bloomingdale Ave, Brandon, FL 33511-7401.

What is the taxonomy code for Kendyl Baker?

The primary taxonomy code is 363A00000X – Physician Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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