Kimberly Jo Barrett

NPI 1720262827 - Physician Assistant - 363A00000X

NPI Details
NPI 1720262827
Gender Female
Enumeration Date 12/26/2007
Last Updated 12/26/2007
Entity Type Individual
Active Over 8 years ago
Practice Location
1515 W LAKE ST
SUITE 203
HANOVER PARK IL, 60103-4896, US
Phone (630) 830-5926
Fax (630) 830-5938
Business Location
1515 W LAKE ST
SUITE 203
HANOVER PARK IL, 60103-4896, US
Phone (630) 830-5926
Fax (630) 830-5938
Toxanomy
Taxonomy Code 363A00000X
License State Illinois
License Number 085-003058
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According to our database, Kimberly Jo Barrett NPI is 1720262827, taxonomy code is 363A00000X and license number is 085-003058, license state is located at Illinois. Kimberly Jo Barrett physically located at 1515 W Lake St, Hanover Park IL, 60103-4896. NPI Number Kimberly Jo Barrett has the Individual type.

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1720262827 NPI number is provided on an as is basis without warranty of any kind. 1720262827 is maintained by the National Plan & Provider Enumeration System. The contents of Kimberly Jo Barrett are for informational purposes only.