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NPI Code Detail

MEDICARE: KATHLEEN MARY BARTLEY P.A.

MEDICARE: KATHLEEN MARY BARTLEY P.A.
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
1363AM0700XMedical Physician AssistantC0002006MD

General Provider Information

NPI Number : 1467523506
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN MARY BARTLEY P.A.
Provider Business Mailing Address
First Line : 1038 BAYBERRY DR
Second Line :
City : ARNOLD
State : MD
Zip : 21012-1635
Country : US
Telephone Number : 410-349-8324
Fax Number :
Provider Business Practice Location Address
First Line : 2772 RUTLAND RD
Second Line :
City : DAVIDSONVILLE
State : MD
Zip : 21035-1228
Country : US
Telephone Number : 443-332-4380
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/12/2006
Last Update Date : 07/08/2007

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Directions to “ KATHLEEN MARY BARTLEY P.A.” Practice Location

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