Provider Demographics
NPI:1922252139
Name:KIGHT, BARBEE LORANE (LMT)
Entity Type:Individual
Prefix:MRS
First Name:BARBEE
Middle Name:LORANE
Last Name:KIGHT
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:386 SW PIERCE GLN
Mailing Address - Street 2:
Mailing Address - City:LAKE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32025-2657
Mailing Address - Country:US
Mailing Address - Phone:386-754-9103
Mailing Address - Fax:
Practice Address - Street 1:618 S MARION AVE
Practice Address - Street 2:105
Practice Address - City:LAKE CITY
Practice Address - State:FL
Practice Address - Zip Code:32025-5841
Practice Address - Country:US
Practice Address - Phone:386-752-3125
Practice Address - Fax:386-752-3126
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-14
Last Update Date:2008-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA54838225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist