Provider Demographics
NPI:1184084980
Name:BARBE, KAREN MICHELLE (PA)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:MICHELLE
Last Name:BARBE
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1329 SPANOS CT
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95355-2806
Mailing Address - Country:US
Mailing Address - Phone:209-300-7947
Mailing Address - Fax:209-566-9323
Practice Address - Street 1:1329 SPANOS CT
Practice Address - Street 2:SUITE B4
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95355-2806
Practice Address - Country:US
Practice Address - Phone:209-300-7947
Practice Address - Fax:209-566-9323
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-07
Last Update Date:2016-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAPA53103363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical