Basic Information
| Provider Information | |||||||||
| NPI: | 1740302892 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BARNARD | ||||||||
| FirstName: | KIMBERLY | ||||||||
| MiddleName: | ELIZABETH | ||||||||
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| Credential: | DPT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2324 BATH ST | ||||||||
| Address2: | STE A | ||||||||
| City: | SANTA BARBARA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 931054330 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8056823870 | ||||||||
| FaxNumber: | 8055693860 | ||||||||
| Practice Location | |||||||||
| Address1: | 2751 ROOSEVELT RD | ||||||||
| Address2: | STE 203 | ||||||||
| City: | SAN DIEGO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 921066180 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6197439177 | ||||||||
| FaxNumber: | 6192699926 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/06/2007 | ||||||||
| LastUpdateDate: | 04/25/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2251X0800X | 29964 | CA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Orthopedic |
No ID Information.