Individual
KATHRYN LYNN BARROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
705 RILEY HOSPITAL DR, RI 3032, INDIANAPOLIS, IN 46202-5109
(317) 944-7260
(317) 948-0860
Mailing address
PO BOX 1026, INDIANAPOLIS, IN 46206-1026
(317) 777-6435
(317) 777-6644
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10002785A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300030624
—
IN
Enumeration date
01/20/2017
Last updated
08/18/2021
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