Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kedhar Wallace Bartlett, EMT-B

Individual provider Rehabilitation Practitioner · NPI 1023997079

Kedhar Wallace Bartlett, EMT-B is a Rehabilitation Practitioner in Petaluma, California. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1500 Petaluma Blvd S
Petaluma, CA 94952-5545
Phone: (707) 765-8488
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X

Record details

NPI number1023997079
Entity typeIndividual (Type 1)
GenderMale
Credentials EMT-B
Sole proprietorNo
NPI enumeratedSeptember 2, 2025
Last updated in NPPESSeptember 2, 2025
Certification dateSeptember 2, 2025

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