Individual
KAREN ROBERTA HARTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2000 MEDICAL PKWY, STE 101, ANNAPOLIS, MD 21401-3742
(410) 295-8900
(410) 280-4701
Mailing address
201 DEFENSE HWY, STE 100, ANNAPOLIS, MD 21401-8902
(667) 204-7000
(443) 481-6515
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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