MEDICARE: ,L.KIMBERLY BARKER

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	251B00000X	Case Management Agency	2211-9195	WV

General Provider Information

NPI Number	:	1427583160
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	,L.KIMBERLY BARKER

Provider Business Mailing Address
First Line	:	RR 2 BOX 433
Second Line	:
City	:	DELBARTON
State	:	WV
Zip	:	25670-9775
Country	:	US
Telephone Number	:	304-475-5249
Fax Number	:

Provider Business Practice Location Address
First Line	:	RR 2 BOX 433
Second Line	:
City	:	DELBARTON
State	:	WV
Zip	:	25670-9775
Country	:	US
Telephone Number	:	304-475-5249
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KIMBERLY ELIZABETH BARKER
Credential	:	M.A., L.S.W.
Telephone Number	:	304-475-5249

Provider Enumeration Date	:	05/01/2017
Last Update Date	:	05/01/2017

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