Individual
MRS. KATHERINE B BARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
395 N MAIN ST, BRISTOL, CT 06010-4924
(860) 585-5000
(860) 585-5050
Mailing address
19 GRAND ST, MIDDLETOWN, CT 06457-2705
(860) 347-6971
(860) 343-7379
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002520
CT
363A00000X
Physician Assistant
012667
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000418479001
BSNENY
NY
05
—
03046595
—
NY
01
—
080913000013
FIDELIS
NY
01
—
6020240
MVP HEALTHCARE
NY
Enumeration date
08/19/2008
Last updated
06/22/2026
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