Provider Demographics
NPI:1871057547
Name:BARNHART, KIMBERLEE (DC)
Entity type:Individual
Prefix:DR
First Name:KIMBERLEE
Middle Name:
Last Name:BARNHART
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5803 2ND ST STE 2
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-2781
Mailing Address - Country:US
Mailing Address - Phone:832-913-6530
Mailing Address - Fax:832-913-8242
Practice Address - Street 1:5803 2ND ST STE 2
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-2781
Practice Address - Country:US
Practice Address - Phone:832-913-6530
Practice Address - Fax:832-913-8242
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-28
Last Update Date:2019-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13720111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor