Doctor Name: | CHERYL BARNES |
NPI Number: | 1114911773 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 32968 |
Business Practice Address: | 3703 Taylorsville Rd Suite 214 Louisville, KY - 402201354 |
Business Phone Number: | 5024781378 |
Business Fax Number: | 5024582825 |
Mailing Address: | 3703 Taylorsville Rd, Suite 214 LOUISVILLE |
State: | KY |
Postal Code: | 402201354 |
Phone Number: | 5024781378 |
Fax Number: | 5024582825 |
NPI Enumeration Date: | 09/09/2005 |
NPI Last Update Date: | 02/24/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 32968 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |