Provider Demographics
NPI:1407535917
Name:BARTLEY, KRISTEN DENYS
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:DENYS
Last Name:BARTLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2058 WATERBURY RD
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44107-6213
Mailing Address - Country:US
Mailing Address - Phone:614-230-1102
Mailing Address - Fax:
Practice Address - Street 1:2058 WATERBURY RD
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:OH
Practice Address - Zip Code:44107-6213
Practice Address - Country:US
Practice Address - Phone:614-230-1102
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-12
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care