Individual
KEITH BARTLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
784 HIGH ST, SAN LUIS OBISPO, CA 93401-5243
(805) 934-2182
Mailing address
PO BOX 15408, SAN LUIS OBISPO, CA 93406-5408
(805) 934-2182
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
07/20/2026
Last updated
07/20/2026
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