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Kelly Barton Carmack

Case Manager/Care Coordinator in Chico, CA. Individual provider (NPI-1).

NPI number1164597530
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1164597530
Entity type
Individual (NPI-1)
Name
Kelly Barton Carmack
Sex
Male
Sole proprietor
No
Enumeration date
Nov 21, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

107 Parmac Road
Suite 1
Chico, CA 95926

Phone 530-891-2964 · Fax 530-895-6683

Mailing address

144 W 16th St
Chico, CA 95928

Phone 530-354-0484

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