Healthcare Provider Details

I. General information

NPI: 1386647055
Provider Name (Legal Business Name): KARIN L BARNES M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KARIN MUTERSBAUGH M.D.

II. Dates (important events)

Enumeration Date: 05/24/2005
Last Update Date: 12/29/2020
Certification Date: 12/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 SAINT FRANCIS DR
CAPE GIRARDEAU MO
63703-5049
US

IV. Provider business mailing address

PO BOX 801143
KANSAS CITY MO
64180-1143
US

V. Phone/Fax

Practice location:
  • Phone: 573-331-5770
  • Fax: 573-331-3974
Mailing address:
  • Phone: 573-331-5583
  • Fax: 573-331-5079

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number2008008684
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: