Provider Demographics
NPI:1205120946
Name:BARNES, KIMBERLY O (MSW)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:O
Last Name:BARNES
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7582 COUNTY ROAD 1500
Mailing Address - Street 2:
Mailing Address - City:WEST PLAINS
Mailing Address - State:MO
Mailing Address - Zip Code:65775-5442
Mailing Address - Country:US
Mailing Address - Phone:417-293-8568
Mailing Address - Fax:
Practice Address - Street 1:7582 COUNTY ROAD 1500
Practice Address - Street 2:
Practice Address - City:WEST PLAINS
Practice Address - State:MO
Practice Address - Zip Code:65775-5442
Practice Address - Country:US
Practice Address - Phone:417-293-8568
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-28
Last Update Date:2011-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker