| Doctor Name: | KIMBERLY J BARRETT |
| NPI Number: | 1013166495 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 211197 |
| Business Practice Address: | 110 Liberty St Brockton, MA - 023015521 |
| Business Phone Number: | 5088940400 |
| Business Fax Number: | 5088940342 |
| Mailing Address: | 680 Centre Street, BROCKTON |
| State: | MA |
| Postal Code: | 02302 |
| Phone Number: | 5089417885 |
| Fax Number: | 5089416337 |
| NPI Enumeration Date: | 09/10/2008 |
| NPI Last Update Date: | 11/05/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 211197 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |