Provider Demographics
NPI:1407951940
Name:BARNSFATHER, KRIS ELLEN (MD)
Entity Type:Individual
Prefix:DR
First Name:KRIS
Middle Name:ELLEN
Last Name:BARNSFATHER
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:PO BOX 780982
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19178-0982
Mailing Address - Country:US
Mailing Address - Phone:303-306-7783
Mailing Address - Fax:303-306-7753
Practice Address - Street 1:200 E CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-1831
Practice Address - Country:US
Practice Address - Phone:502-629-8000
Practice Address - Fax:303-306-7753
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2020-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM3892207V00000X
KY49095207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX183155404OtherTX HEALTHSTEPS
TXTXB102462OtherMEDICARE GROUP PTAN
TXTXB102464OtherMEDICARE PTAN
TX183155405Medicaid
TX295206101OtherMEDICAID GROUP TPI
TX295206101OtherMEDICAID GROUP TPI
TXTXB102464OtherMEDICARE PTAN