Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 26838 | KY |
N | 207QA0401X | Family Doctor - Addiction Medicine | 26838 | KY |
N | 207QG0300X | Family Doctor - Geriatric Medicine | 26838 | KY |
N | 207QS0010X | Family Doctor - Sports Medicine | 26838 | KY |
NPI | 1881622017 |
---|---|
Provider Name | Karen Jo Barnes |
First Address | Lexington, KY 40502 |
Second Address | Cincinnati, OH 40536 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1881622017 | NPI (01) | |
64268386 | (05) | KY |
E46751 | (02) |