Provider Demographics
NPI:1396460945
Name:BARNES, KALA MARGARETTE
Entity type:Individual
Prefix:
First Name:KALA
Middle Name:MARGARETTE
Last Name:BARNES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KALA
Other - Middle Name:M
Other - Last Name:BARNES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:KALA M BARNES LPN
Mailing Address - Street 1:305 S 7TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMISBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45342-3345
Mailing Address - Country:US
Mailing Address - Phone:937-238-8314
Mailing Address - Fax:937-918-7161
Practice Address - Street 1:4940 CHAMBERSBURG RD
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45424-3619
Practice Address - Country:US
Practice Address - Phone:937-707-2725
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-06
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLPN.177556.MEDS-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse