Individual
DR. KENNETH ALVIN BERTRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1434 PORTER ST, BARQUIST ARMY HEALTH CLINIC, FREDERICK, MD 21702-9210
(301) 619-4666
(301) 619-7676
Mailing address
6704 HEIRLOOM CT, FREDERICK, MD 21702-5802
(301) 631-9228
(301) 319-9849
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD00024580
WA
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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