Provider Demographics
NPI:1083686919
Name:BARNHART, AMY KATHLEEN (MD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:KATHLEEN
Last Name:BARNHART
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4040 POSTAL DR
Mailing Address - Street 2:CARILION PEDIATRIC MEDICINE
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-6438
Mailing Address - Country:US
Mailing Address - Phone:540-772-4453
Mailing Address - Fax:
Practice Address - Street 1:4040 POSTAL DR
Practice Address - Street 2:CARILION PEDIATRIC MEDICINE
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018-6438
Practice Address - Country:US
Practice Address - Phone:540-772-4453
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-04
Last Update Date:2020-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01065098A208000000X
VA0101251071208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics