Provider Demographics
NPI:1922194083
Name:SOSNIN, BARRY BRIAN JR (DO)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:BRIAN
Last Name:SOSNIN
Suffix:JR
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1918 HIKES LN STE 102
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40218-2598
Mailing Address - Country:US
Mailing Address - Phone:502-473-4067
Mailing Address - Fax:502-473-4077
Practice Address - Street 1:1918 HIKES LN STE 102
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40218-2598
Practice Address - Country:US
Practice Address - Phone:502-473-4067
Practice Address - Fax:502-473-4077
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2022-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY02986207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine