Provider Demographics
NPI:1598921595
Name:BARRETT, KAREN B (MS, PA-C)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:B
Last Name:BARRETT
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Gender:F
Credentials:MS, PA-C
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Mailing Address - Street 1:2619 N SILVERLEAF WAY
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:ID
Mailing Address - Zip Code:83646-3963
Mailing Address - Country:US
Mailing Address - Phone:208-898-1361
Mailing Address - Fax:206-202-8007
Practice Address - Street 1:6000 W. OVERLAND ROAD
Practice Address - Street 2:FIRSTLINE MEDICAL
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83704
Practice Address - Country:US
Practice Address - Phone:208-323-7588
Practice Address - Fax:206-202-8007
Is Sole Proprietor?:No
Enumeration Date:2008-07-30
Last Update Date:2008-07-30
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Provider Licenses
StateLicense IDTaxonomies
IDPA-328363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical