MEDICARE: KAYE BARNEY

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	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	067367261	CO

General Provider Information

NPI Number	:	1558892208
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAYE BARNEY

Provider Business Mailing Address
First Line	:	16365 WELD COUNTY RD 32
Second Line	:
City	:	PLATTEVILLE
State	:	CO
Zip	:	80651-9999
Country	:	US
Telephone Number	:	970-785-0985
Fax Number	:	970-785-0985

Provider Business Practice Location Address
First Line	:	16365 WELD COUNTY RD 32
Second Line	:
City	:	PLATTEVILLE
State	:	CO
Zip	:	80651-9999
Country	:	US
Telephone Number	:	970-785-0985
Fax Number	:	970-785-0985

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

Provider Enumeration Date	:	03/24/2017
Last Update Date	:	03/24/2017

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Directions to “ KAYE BARNEY ” Practice Location

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