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Individual
MS. BARBARA ANN BERN
Active
Individual
MS. BARBARA ANN BERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA329
KY
363AM0700X
Medical Physician Assistant
PA329
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37903705
MEDICAID LAB GROUP#
KY
01
—
4000501
MEDICARE LAB GROUP#
KY
01
—
CB 5773
RR MEDICARE GROUP#
KY
01
—
P00364051
RR MEDICARE PIN#
KY
Enumeration date
06/07/2006
Last updated
11/25/2009
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