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NPI Code Detail

MEDICARE: KELBIE LEWIS

MEDICARE: KELBIE LEWIS
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
1164X00000XLicensed Vocational Nurse735939CA

General Provider Information

NPI Number : 1497521736
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELBIE LEWIS
Provider Business Mailing Address
First Line : 3715 COLUMBUS ST
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93306-2719
Country : US
Telephone Number : 661-589-2289
Fax Number :
Provider Business Practice Location Address
First Line : 3715 COLUMBUS ST
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93306-2719
Country : US
Telephone Number : 661-589-2289
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2023
Last Update Date : 06/15/2026

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Directions to “ KELBIE LEWIS ” Practice Location

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