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General NPI Number Information
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NPI Number | 1427984145
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Entity Type | Individual
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Provider Name | KELLIE BARTLETT PHARMD
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Gender | Female
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Dates
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Enumeration Date | 06/22/2026
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Last Update Date | 06/22/2026
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Provider Practice Location Address
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Address Line | 400 W MINERAL KING AVE
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City | VISALIA
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State | CA
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Zip | 93291-6237
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Country | US
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Telephone | 559-624-5088
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Fax |
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Provider Business Mailing Address
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Address Line | 1412 W CENTER AVE
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City | VISALIA
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State | CA
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Zip | 93291-5802
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Country | US
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Telephone | 763-742-6986
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1835E0208X
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Taxonomy Name | Emergency Medicine Pharmacist
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License Number | 78423
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 122867
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License Number State | MN
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