MEDICARE: MR. KENNETH ALAN BATKO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	11931	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003965492
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. KENNETH ALAN BATKO MD

Provider Business Mailing Address
First Line	:	10615 W THUNDERBIRD BLVD
Second Line	:	B300
City	:	SUN CITY
State	:	AZ
Zip	:	85351
Country	:	US
Telephone Number	:	623-933-0176
Fax Number	:	623-933-2808

Provider Business Practice Location Address
First Line	:	10615 W THUNDERBIRD BLVD
Second Line	:	B300
City	:	SUN CITY
State	:	AZ
Zip	:	85351-3059
Country	:	US
Telephone Number	:	623-933-0176
Fax Number	:	623-933-2808

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/09/2007
Last Update Date	:	07/08/2007

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