Provider Demographics
NPI:1558892208
Name:BARNEY, KAYE
Entity Type:Individual
Prefix:
First Name:KAYE
Middle Name:
Last Name:BARNEY
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 1:16365 WELD COUNTY RD 32
Mailing Address - Street 2:
Mailing Address - City:PLATTEVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80651-9999
Mailing Address - Country:US
Mailing Address - Phone:970-785-0985
Mailing Address - Fax:970-785-0985
Practice Address - Street 1:16365 WELD COUNTY RD 32
Practice Address - Street 2:
Practice Address - City:PLATTEVILLE
Practice Address - State:CO
Practice Address - Zip Code:80651-9999
Practice Address - Country:US
Practice Address - Phone:970-785-0985
Practice Address - Fax:970-785-0985
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-24
Last Update Date:2017-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO067367261320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities