Healthcare Provider Details

I. General information

NPI: 1124351960
Provider Name (Legal Business Name): KAREN R. BARBER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2009
Last Update Date: 09/11/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2413 2ND ST
EUREKA CA
95501-0811
US

IV. Provider business mailing address

PO BOX 6029
EUREKA CA
95502-6029
US

V. Phone/Fax

Practice location:
  • Phone: 707-269-9590
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: