MEDICARE: KIMBERLY ELIZABETH BARNARD DPT

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	2251X0800X	Orthopedic Physical Therapist	29964	CA

General Provider Information

NPI Number	:	1740302892
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY ELIZABETH BARNARD DPT

Provider Business Mailing Address
First Line	:	2324 BATH ST
Second Line	:	STE A
City	:	SANTA BARBARA
State	:	CA
Zip	:	93105-4330
Country	:	US
Telephone Number	:	805-682-3870
Fax Number	:	805-569-3860

Provider Business Practice Location Address
First Line	:	2751 ROOSEVELT RD
Second Line	:	STE 203
City	:	SAN DIEGO
State	:	CA
Zip	:	92106-6180
Country	:	US
Telephone Number	:	619-743-9177
Fax Number	:	619-269-9926

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

Provider Enumeration Date	:	04/06/2007
Last Update Date	:	04/25/2018

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