Individual
MRS. STARLA JO BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSC,BA
Contact information
Practice address
213 ANDOVER DR, GLENDALE, KY 42740-8728
(270) 369-9041
(270) 369-0071
Mailing address
213 ANDOVER DR, GLENDALE, KY 42740-8728
(270) 369-9041
(270) 369-0071
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01806
FIRST STEPS PROVIDER NUMB
KY
Enumeration date
03/02/2007
Last updated
07/08/2007
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