| Doctor Name: | MR. KERN LEE BARROW |
| NPI Number: | 1295737963 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA |
| License Number: | 102509 |
| Business Practice Address: | 112 Medical Village Dr Suite G Wallace, NC - 284661668 |
| Business Phone Number: | 9102850333 |
| Business Fax Number: | 9102850336 |
| Mailing Address: | Po Box 602484, CHARLOTTE |
| State: | NC |
| Postal Code: | 282602484 |
| Phone Number: | 9102850333 |
| Fax Number: | 9102850336 |
| NPI Enumeration Date: | 08/12/2005 |
| NPI Last Update Date: | 06/25/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 102509 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |