Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 24653 | SC |
N | 363LP0200X | Nurse Practitioner - Pediatrics | 226627 | AZ |
N | 363LP0200X | Nurse Practitioner - Pediatrics | 24653 | SC |
NPI | 1033777560 |
---|---|
Provider Name | Kelly Edmonds Barrington |
First Address | Atlanta, GA 30374-3070 |
Second Address | Union, SC 29379-2771 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2019 |
Last Update Date | 29/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
NP7521 | (05) | SC |
SCK0355019 | MEDICARE PIN (01) | SC |
SCK035H895 | MEDICARE PIN (01) | SC |
SCK035J577 | MEDICARE PIN (01) | SC |