MEDICARE: DR. KENNETH EDWARD BARTHOLOMEW 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	207LP2900X	Pain Medicine (Anesthesiology) Physician	MD0000015080	TN

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	:	1144222035
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KENNETH EDWARD BARTHOLOMEW MD

Provider Business Mailing Address
First Line	:	170-D EAST MAIN STREET
Second Line	:	PMB 115
City	:	HENDERSONVILLE
State	:	TN
Zip	:	37075-2579
Country	:	US
Telephone Number	:	615-860-3500
Fax Number	:	615-860-2420

Provider Business Practice Location Address
First Line	:	3443 DICKERSON PIKE
Second Line	:	SUITE 590
City	:	NASHVILLE
State	:	TN
Zip	:	37207-2519
Country	:	US
Telephone Number	:	615-860-3500
Fax Number	:	615-860-2420

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

Provider Enumeration Date	:	08/11/2005
Last Update Date	:	07/08/2007

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