Healthcare Provider Details

I. General information

NPI: 1427984145
Provider Name (Legal Business Name): KELLIE BARTLETT PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 W MINERAL KING AVE
VISALIA CA
93291-6237
US

IV. Provider business mailing address

1412 W CENTER AVE
VISALIA CA
93291-5802
US

V. Phone/Fax

Practice location:
  • Phone: 559-624-5088
  • Fax:
Mailing address:
  • Phone: 763-742-6986
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835E0208X
TaxonomyEmergency Medicine Pharmacist
License Number78423
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number122867
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: