Barry, Kathleen C

Barry, Kathleen C is an individual health care provider with primary practice located at 116 1St St N , St Petersburg FL 33701-3305. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Barry, Kathleen C can be contacted via phone (727) 895-5210.

Contact Information

Primary practice address
116 1St St N St Petersburg FL 33701-3305
Fax: (727) 821-4297
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME63741 Florida

Profile Details

NPI number 1639164825
LBN Legal business name Barry, Kathleen C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Mar 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639164825 NPPES
Florida MEDICAID 261654800

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