Individual
CHERYL BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3703 TAYLORSVILLE RD, SUITE 214, LOUISVILLE, KY 40220
(502) 541-7661
(502) 459-0629
Mailing address
3703 TAYLORSVILLE RD, SUITE 214, LOUISVILLE, KY 40220-1354
(502) 478-1378
(502) 458-2825
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
32968
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000039733
ANTHEM
—
01
—
1087732
PASSPORT
—
05
—
64329683
—
KY
Enumeration date
09/09/2005
Last updated
10/01/2018
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