Kerri A Bartlett, D.O.

Individual provider Active NPI Family Medicine Physician · Colusa, CA

NPI 1972505394 · NPPES record last updated Jul 1, 2011

Key facts

NPI
1972505394
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
20A4896 (CA)
Practice address
555 Fremont St
Colusa, CA 95932-2534
Phone
(530) 458-8635
Fax
(530) 458-7830
NPI assigned
Aug 15, 2005
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
4896CAMDSpeech-Language Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A4896 CA Yes

Addresses

Primary practice location

555 Fremont St
Colusa, CA 95932-2534

Mailing address

PO Box a D
Yuba City, CA 95992-1396
Phone (530) 751-3769

Other providers in Colusa, CA

All providers in Colusa, CA · Family Medicine Physician in California

Sources for this page

Verify at the official NPI Registry.