MEDICARE: ALBERT KENNETH BARTKO 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	208100000X	Physical Medicine & Rehabilitation Physician	35263	NC

General Provider Information

NPI Number	:	1447291661
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALBERT KENNETH BARTKO MD

Provider Business Mailing Address
First Line	:	225 BALDWIN AVE
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28204-3109
Country	:	US
Telephone Number	:	704-376-1605
Fax Number	:	704-335-8448

Provider Business Practice Location Address
First Line	:	301 E WENDOVER AVE STE 200
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27401-1232
Country	:	US
Telephone Number	:	336-274-3241
Fax Number	:

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

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	05/03/2023

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