MEDICARE: MR. KENNETH D BATTEN M.D.

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	2085R0202X	Diagnostic Radiology Physician	18531	AL

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
2	051094364BAT	OTHER	AL	BC/BS OF AL

General Provider Information

NPI Number	:	1144223645
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. KENNETH D BATTEN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 91119
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36691-1119
Country	:	US
Telephone Number	:	251-460-0326
Fax Number	:	251-460-2846

Provider Business Practice Location Address
First Line	:	6801 AIRPORT BLVD
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36608-3709
Country	:	US
Telephone Number	:	251-460-0326
Fax Number	:	251-460-2846

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

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	02/08/2018

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