Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 173872 | NC |
N | 111NI0900X | Internist | 173872 | NC |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 2014-01316 | NC |
NPI | 1023309325 |
---|---|
Provider Name | Kelsey Jeanine Barr |
First Address | Charlotte, NC 28289-6206 |
Second Address | Pollocksville, NC 28573-8200 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2011 |
Last Update Date | 17/03/2017 |