Healthcare Provider Details

I. General information

NPI: 1306759014
Provider Name (Legal Business Name): TERRY RENEE BARKER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TERRY RENEE MCKINNEY

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

476 RIVER PARK DR
ONA WV
25545-7468
US

IV. Provider business mailing address

476 RIVER PARK DR
ONA WV
25545-7468
US

V. Phone/Fax

Practice location:
  • Phone: 681-587-9319
  • Fax:
Mailing address:
  • Phone: 681-587-9319
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: