Provider Demographics
NPI:1932313392
Name:BARRETT, KIMBERLY BREE (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:BREE
Last Name:BARRETT
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:855 CRESCENT ST
Mailing Address - Street 2:
Mailing Address - City:EAST BRIDGEWATER
Mailing Address - State:MA
Mailing Address - Zip Code:02333-1609
Mailing Address - Country:US
Mailing Address - Phone:508-737-7344
Mailing Address - Fax:508-362-5722
Practice Address - Street 1:179 ROUTE 6A
Practice Address - Street 2:BRIARPATCH PEDIATRICS
Practice Address - City:YARMOUTH PORT
Practice Address - State:MA
Practice Address - Zip Code:02675-1714
Practice Address - Country:US
Practice Address - Phone:508-362-5727
Practice Address - Fax:508-362-5722
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MAAP1872363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant