Provider Demographics
NPI:1851378640
Name:BARBER, DEBRA A (CRNA)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:A
Last Name:BARBER
Suffix:
Gender:F
Credentials:CRNA
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:444 SOUTH 1ST STREET
Mailing Address - Street 2:#201 ANESTHESIA ASSOCIATES OF KENTUCKIANA PSC
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202
Mailing Address - Country:US
Mailing Address - Phone:502-238-2863
Mailing Address - Fax:502-238-2889
Practice Address - Street 1:444 SOUTH 1ST STREET
Practice Address - Street 2:#201 ANESTHESIA ASSOCIATES OF KENTUCKIANA PSC
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202
Practice Address - Country:US
Practice Address - Phone:502-238-2863
Practice Address - Fax:502-238-2889
Is Sole Proprietor?:No
Enumeration Date:2005-12-22
Last Update Date:2016-03-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY2590A367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY74025909Medicaid
KY74025909Medicaid