MEDICARE: DR. KATHRYN GENEVIEVE BARNARD M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	2003-0175	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366440141
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATHRYN GENEVIEVE BARNARD M.D.

Provider Business Mailing Address
First Line	:	138 ARAGON AVE
Second Line	:
City	:	LOS ALAMOS
State	:	NM
Zip	:	87544-3502
Country	:	US
Telephone Number	:	505-661-9030
Fax Number	:

Provider Business Practice Location Address
First Line	:	3917 WEST RD
Second Line	:	SUITE 138
City	:	LOS ALAMOS
State	:	NM
Zip	:	87544-2275
Country	:	US
Telephone Number	:	505-661-9030
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2005
Last Update Date	:	07/08/2007

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