Provider Demographics
NPI:1982466801
Name:BARNETT-MORGAN, RENETE
Entity Type:Individual
Prefix:
First Name:RENETE
Middle Name:
Last Name:BARNETT-MORGAN
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 1:1931 LAKEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:42701-5526
Mailing Address - Country:US
Mailing Address - Phone:270-312-4624
Mailing Address - Fax:
Practice Address - Street 1:1931 LAKEWOOD DR
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:KY
Practice Address - Zip Code:42701-5526
Practice Address - Country:US
Practice Address - Phone:270-312-4624
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-25
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator