Provider Demographics
NPI:1356005557
Name:BARKMAN, KORALYN DAWN (APRN-C)
Entity type:Individual
Prefix:
First Name:KORALYN
Middle Name:DAWN
Last Name:BARKMAN
Suffix:
Gender:F
Credentials:APRN-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1525 MADISON ST STE 2
Mailing Address - Street 2:
Mailing Address - City:FREDONIA
Mailing Address - State:KS
Mailing Address - Zip Code:66736-1704
Mailing Address - Country:US
Mailing Address - Phone:620-378-2068
Mailing Address - Fax:620-378-2312
Practice Address - Street 1:1525 MADISON ST STE 2
Practice Address - Street 2:
Practice Address - City:FREDONIA
Practice Address - State:KS
Practice Address - Zip Code:66736-1704
Practice Address - Country:US
Practice Address - Phone:620-378-2068
Practice Address - Fax:620-378-2312
Is Sole Proprietor?:No
Enumeration Date:2021-10-25
Last Update Date:2024-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-80635363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily