Healthcare Provider Details

I. General information

NPI: 1881622017
Provider Name (Legal Business Name): KAREN JO BARNES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 VINE STREET ML11 AC
CINCINNATI OH
40536
US

IV. Provider business mailing address

1204 TATES CREEK ROAD
LEXINGTON KY
40502
US

V. Phone/Fax

Practice location:
  • Phone: 513-861-3100
  • Fax: 513-487-6041
Mailing address:
  • Phone: 859-266-5437
  • Fax: 859-323-6661

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number26838
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code207QA0000X
TaxonomyAdolescent Medicine (Family Medicine) Physician
License Number26838
License Number StateKY
# 3
Primary TaxonomyN
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number26838
License Number StateKY
# 4
Primary TaxonomyN
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number26838
License Number StateKY
# 5
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number26838
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: