Provider Demographics
NPI:1508362476
Name:BARREIRO, CARLA JO
Entity Type:Individual
Prefix:DR
First Name:CARLA
Middle Name:JO
Last Name:BARREIRO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3349 TATES CREEK RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40502-3467
Mailing Address - Country:US
Mailing Address - Phone:859-266-0413
Mailing Address - Fax:859-266-6463
Practice Address - Street 1:3349 TATES CREEK RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40502-3467
Practice Address - Country:US
Practice Address - Phone:859-266-0413
Practice Address - Fax:859-266-6463
Is Sole Proprietor?:No
Enumeration Date:2018-03-31
Last Update Date:2022-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY20041183500000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program