Kim Ellen Bartlett, DIPL. OF ACUPUNCTURE
Individual provider Active NPI Acupuncturist · Evergreen, CO
NPI 1376562041 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1376562041
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- 523 (CO)
- Practice address
- 28351 Meadow Rue Rd
Evergreen, CO 80439-8305 - Phone
- (303) 679-1284
- NPI assigned
- Jul 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 523 | CO | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 523 | CO | Yes |
Addresses
Primary practice location
28351 Meadow Rue Rd
Evergreen, CO 80439-8305
Mailing address
28351 Meadow Rue Rd
Evergreen, CO 80439-8305
Phone (303) 679-1284
Other providers in Evergreen, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.