Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | DC28038 | CA |
NPI | 1770694689 |
---|---|
Provider Name | Dr. Keri Michele Bither-Barnes |
First Address | Anderson, CA 96007-3367 |
Second Address | Anderson, CA 96007-3367 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
VO6464 | (02) | CA |