Individual
MRS. KATHY N. BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.,
Contact information
Practice address
803 S WALKER ST, BURGAW, NC 28425-5001
(910) 259-1230
(910) 259-1258
Mailing address
803 S WALKER ST, BURGAW, NC 28425-5001
(910) 259-1230
(910) 259-1258
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5792
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
598286
UNITED CONCORDIA
NC
05
—
8990466
—
NC
01
—
90466
BLUE CROSS BLUE SHIELD
NC
Enumeration date
08/09/2006
Last updated
04/24/2015
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