Individual
DR. KELLY M BARTLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
102 2ND ST, CORALVILLE, IA 52241-2606
(319) 341-6153
Mailing address
102 2ND ST, CORALVILLE, IA 52241-2606
(319) 341-6153
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20059
IA
183500000X
Pharmacist
PS34971
FL
Other
Enumeration date
09/12/2011
Last updated
09/30/2011
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