Bartholomew, Kenneth A
Bartholomew, Kenneth A is an individual health care provider with primary practice located at 100 Mac Lane Avera Medical Group Pierre, Pierre SD 57501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bartholomew, Kenneth A can be contacted via phone (605) 224-5901.Contact Information
Primary practice address
100 Mac Lane Avera Medical Group Pierre
Pierre SD 57501
Phone: (605) 224-5901
Fax: (605) 945-5295
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2285 | South Dakota |
Profile Details
| NPI number | 1639144363 |
|---|---|
| LBN Legal business name | Bartholomew, Kenneth A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2006 |
| Last updated | Jun 29th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639144363 | NPPES |
| South Dakota | MEDICAID | 5608385 | |
| South Dakota | MEDICAID | 5608380 |
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