Provider Demographics
NPI:1881090884
Name:BARNHILL, KRISTY SOO
Entity type:Individual
Prefix:
First Name:KRISTY
Middle Name:SOO
Last Name:BARNHILL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4811 ARID AVE
Mailing Address - Street 2:1340
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89115-2962
Mailing Address - Country:US
Mailing Address - Phone:702-913-8577
Mailing Address - Fax:
Practice Address - Street 1:4811 ARID AVE
Practice Address - Street 2:1340
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89115-2962
Practice Address - Country:US
Practice Address - Phone:702-913-8577
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-18
Last Update Date:2014-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health