Provider Demographics
NPI:1265820609
Name:BARNARD, KRISTEN (CNA)
Entity Type:Individual
Prefix:MS
First Name:KRISTEN
Middle Name:
Last Name:BARNARD
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:MS
Other - First Name:KRISTEN
Other - Middle Name:FAITH
Other - Last Name:BARNARD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CNA
Mailing Address - Street 1:102 OXFORD LN
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40229-3519
Mailing Address - Country:US
Mailing Address - Phone:502-310-0602
Mailing Address - Fax:
Practice Address - Street 1:102 OXFORD LN
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40229-3519
Practice Address - Country:US
Practice Address - Phone:502-310-0602
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-08
Last Update Date:2015-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide