Provider Demographics
NPI:1447546080
Name:BARNARD, ADAM C (PA-C)
Entity type:Individual
Prefix:MR
First Name:ADAM
Middle Name:C
Last Name:BARNARD
Suffix:
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:PO BOX 23229
Mailing Address - Street 2:
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42304-3229
Mailing Address - Country:US
Mailing Address - Phone:270-688-1330
Mailing Address - Fax:270-688-1338
Practice Address - Street 1:1301 PLEASANT VALLEY RD
Practice Address - Street 2:SUITE 500B
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42303-9774
Practice Address - Country:US
Practice Address - Phone:270-417-7940
Practice Address - Fax:270-417-7949
Is Sole Proprietor?:No
Enumeration Date:2011-06-22
Last Update Date:2023-01-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KYPA1747363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100229580Medicaid
KY7100229580Medicaid