Provider Demographics
NPI:1750631198
Name:BARR, KIM MARIE
Entity Type:Individual
Prefix:MS
First Name:KIM
Middle Name:MARIE
Last Name:BARR
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 1:1718 T ST SE
Mailing Address - Street 2:APT 2
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020-4733
Mailing Address - Country:US
Mailing Address - Phone:202-683-5356
Mailing Address - Fax:
Practice Address - Street 1:1718 T ST SE
Practice Address - Street 2:APT 2
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-4733
Practice Address - Country:US
Practice Address - Phone:202-683-5356
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-13
Last Update Date:2012-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver