Provider Demographics
NPI:1881622017
Name:BARNES, KAREN JO (MD)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:JO
Last Name:BARNES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1204 TATES CREEK ROAD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40502
Mailing Address - Country:US
Mailing Address - Phone:859-266-5437
Mailing Address - Fax:859-323-6661
Practice Address - Street 1:3200 VINE STREET
Practice Address - Street 2:ML11 AC
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:40536
Practice Address - Country:US
Practice Address - Phone:513-861-3100
Practice Address - Fax:513-487-6041
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY26838207Q00000X, 207QA0000X, 207QA0401X, 207QG0300X, 207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Not Answered207QA0000XAllopathic & Osteopathic PhysiciansFamily MedicineAdolescent Medicine
Not Answered207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine
Not Answered207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Not Answered207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
1881622017OtherNPI
KY64268386Medicaid
1881622017OtherNPI
E46751Medicare UPIN