Provider Demographics
NPI:1386647055
Name:BARNES, KARIN L (MD)
Entity Type:Individual
Prefix:DR
First Name:KARIN
Middle Name:L
Last Name:BARNES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:KARIN
Other - Middle Name:
Other - Last Name:MUTERSBAUGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 801143
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64180-1143
Mailing Address - Country:US
Mailing Address - Phone:573-331-5583
Mailing Address - Fax:573-331-5079
Practice Address - Street 1:211 SAINT FRANCIS DR
Practice Address - Street 2:
Practice Address - City:CAPE GIRARDEAU
Practice Address - State:MO
Practice Address - Zip Code:63703-5049
Practice Address - Country:US
Practice Address - Phone:573-331-5770
Practice Address - Fax:573-331-3974
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2020-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2008008684208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64082241Medicaid
MOP00607756OtherRR MCR
MO674205OtherHEALTHLINK
MO572066OtherBCBS
MO1386647055Medicaid
MO674205OtherHEALTHLINK
G90495Medicare UPIN