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NPI Code Detail

MEDICARE: KAYLIE BARTELS

MEDICARE: KAYLIE BARTELS
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
11041C0700XClinical Social Worker149.029791IL
2101Y00000XCounselor

General Provider Information

NPI Number : 1184399693
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLIE BARTELS
Provider Business Mailing Address
First Line : 1431 N DELAWARE ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46202-2416
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1431 N DELAWARE ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46202-2416
Country : US
Telephone Number : 317-536-7100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2021
Last Update Date : 12/08/2025

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Directions to “ KAYLIE BARTELS ” Practice Location

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