Provider Demographics
NPI:1013476274
Name:BARNHILL, KATY ELIZABETH (LAC)
Entity Type:Individual
Prefix:MS
First Name:KATY
Middle Name:ELIZABETH
Last Name:BARNHILL
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 E 48TH ST RM 1602
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-1059
Mailing Address - Country:US
Mailing Address - Phone:617-594-5920
Mailing Address - Fax:
Practice Address - Street 1:18 E 48TH ST RM 1602
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-1059
Practice Address - Country:US
Practice Address - Phone:617-594-5920
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-18
Last Update Date:2019-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY6502171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty