Provider Demographics
NPI:1255697835
Name:BALDIE, KEVIN GORDON (MD)
Entity type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:GORDON
Last Name:BALDIE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2818 S ARLINGTON RD
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44312-4716
Mailing Address - Country:US
Mailing Address - Phone:330-645-0148
Mailing Address - Fax:330-645-1524
Practice Address - Street 1:2818 S ARLINGTON RD
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44312-4716
Practice Address - Country:US
Practice Address - Phone:330-645-0148
Practice Address - Fax:330-645-1524
Is Sole Proprietor?:No
Enumeration Date:2012-04-08
Last Update Date:2016-07-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35.128985207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine