Provider Demographics
NPI:1225794522
Name:BARNETT, KRISTEN ASHLYNN (HIS)
Entity Type:Individual
Prefix:MRS
First Name:KRISTEN
Middle Name:ASHLYNN
Last Name:BARNETT
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10121 N RODNEY PARHAM RD
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72227-5597
Mailing Address - Country:US
Mailing Address - Phone:501-225-2922
Mailing Address - Fax:
Practice Address - Street 1:10121 N RODNEY PARHAM RD
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72227-5597
Practice Address - Country:US
Practice Address - Phone:501-225-2922
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-10
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR658237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist