Individual
KAREN ROBERTA HARTKE
Active
Individual
KAREN ROBERTA HARTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0002686
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
271959
AMERIGROUP
MD
01
—
5375
BRAVO/ELDER HEALTH
MD
Enumeration date
10/28/2005
Last updated
05/16/2018
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