Provider Demographics
NPI:1447338587
Name:BARNES, KENNETH P (MD)
Entity type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:P
Last Name:BARNES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:THE UNIVERSITY OF MIAMI SPORTS MEDICINE INSTITUTE
Mailing Address - Street 2:5555 PONCE DE LEON BLVD., 3RD FLOOR
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146
Mailing Address - Country:US
Mailing Address - Phone:305-689-5555
Mailing Address - Fax:
Practice Address - Street 1:THE UNIVERSITY OF MIAMI SPORTS MEDICINE INSTITUTE
Practice Address - Street 2:5555 PONCE DE LEON BLVD., 3RD FLOOR
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146
Practice Address - Country:US
Practice Address - Phone:305-689-5555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2019-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2007-01088207RS0010X, 2081S0010X
FLME1395312081S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports Medicine
No207RS0010XAllopathic & Osteopathic PhysiciansInternal MedicineSports Medicine