Individual
DR. KENNETH A BARTHOLOMEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 MAC LANE, AVERA MEDICAL GROUP PIERRE, PIERRE, SD 57501
(605) 224-5901
(605) 945-5295
Mailing address
100 MAC LANE, AVERA MEDICAL GROUP PIERRE, PIERRE, SD 57501
(605) 224-5901
(605) 945-5295
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2285
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5608380
—
SD
05
—
5608385
—
SD
Enumeration date
02/17/2006
Last updated
06/29/2012
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