| Doctor Name: | KATHLEEN ANNE BARRETT |
| NPI Number: | 1104002161 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CFNP |
| License Number: | 331225 |
| Business Practice Address: | 701 Bedford Rd # B Bedford Hills, NY - 105071527 |
| Business Phone Number: | 9146665100 |
| Business Fax Number: | |
| Mailing Address: | 211 Bobby Jones Expy, Ste C MARTINEZ |
| State: | GA |
| Postal Code: | 309075253 |
| Phone Number: | 7068603355 |
| Fax Number: | 7068608765 |
| NPI Enumeration Date: | 01/21/2008 |
| NPI Last Update Date: | 05/18/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 331225 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |