Basic Information
| Provider Information | |||||||||
| NPI: | 1881622017 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BARNES | ||||||||
| FirstName: | KAREN | ||||||||
| MiddleName: | JO | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1204 TATES CREEK ROAD | ||||||||
| Address2: | |||||||||
| City: | LEXINGTON | ||||||||
| State: | KY | ||||||||
| PostalCode: | 40502 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8592665437 | ||||||||
| FaxNumber: | 8593236661 | ||||||||
| Practice Location | |||||||||
| Address1: | 3200 VINE STREET | ||||||||
| Address2: | ML11 AC | ||||||||
| City: | CINCINNATI | ||||||||
| State: | OH | ||||||||
| PostalCode: | 40536 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5138613100 | ||||||||
| FaxNumber: | 5134876041 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/28/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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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 | 207Q00000X | 26838 | KY | X | Allopathic & Osteopathic Physicians | Family Medicine | 207QA0000X | 26838 | KY | X | Allopathic & Osteopathic Physicians | Family Medicine | Adolescent Medicine | 207QA0401X | 26838 | KY | X | Allopathic & Osteopathic Physicians | Family Medicine | Addiction Medicine | 207QG0300X | 26838 | KY | X | Allopathic & Osteopathic Physicians | Family Medicine | Geriatric Medicine | 207QS0010X | 26838 | KY | X | Allopathic & Osteopathic Physicians | Family Medicine | Sports Medicine |
ID Information
| ID | Type | State | Issuer | Description | 1881622017 | 01 | NPI | OTHER | 64268386 | 05 | KY | MEDICAID |