=====================================================
General NPI Number Information
=====================================================
NPI Number | 1760274161
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KIMBERLY BARNETT CVRT, MA
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/21/2025
-----------------------------------------------------
Last Update Date | 05/21/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5500 ARMSTRONG RD
-----------------------------------------------------
City | BATTLE CREEK
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 49037-7314
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 236-223-6745
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7882 HILLVIEW ST
-----------------------------------------------------
City | KALAMAZOO
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 49009-5006
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 269-207-1882
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2255R0406X
-----------------------------------------------------
Taxonomy Name | Blind Rehabilitation Specialist/Technologist
-----------------------------------------------------
License Number | 7043
-----------------------------------------------------
License Number State | MI
-----------------------------------------------------