Individual
KATHY JO BARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
725 S JEFFERSON ST, MASON, MI 48854-1613
(517) 604-1120
Mailing address
725 S JEFFERSON ST, MASON, MI 48854-1613
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601001578
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902855935
—
MI
Enumeration date
05/08/2006
Last updated
09/25/2017
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