MEDICARE: DR. AMY KATHLEEN BARNHART M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	01065098A	IN
2	208000000X	Pediatrics Physician	0101251071	VA

General Provider Information

NPI Number	:	1083686919
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMY KATHLEEN BARNHART M.D.

Provider Business Mailing Address
First Line	:	4040 POSTAL DR
Second Line	:	CARILION PEDIATRIC MEDICINE
City	:	ROANOKE
State	:	VA
Zip	:	24018-6438
Country	:	US
Telephone Number	:	540-772-4453
Fax Number	:

Provider Business Practice Location Address
First Line	:	4040 POSTAL DR
Second Line	:	CARILION PEDIATRIC MEDICINE
City	:	ROANOKE
State	:	VA
Zip	:	24018-6438
Country	:	US
Telephone Number	:	540-772-4453
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/04/2006
Last Update Date	:	12/07/2020

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