Individual
KIMBERLY PATRICE BARNABY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
280 UNION AVE, HOLBROOK, NY 11741-1832
(934) 213-4803
Mailing address
280 UNION AVE, HOLBROOK, NY 11741-1832
(934) 213-4803
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AB0774504-071
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
648864745
DRIVER'S LICENSE
NY
Enumeration date
06/24/2015
Last updated
02/03/2025
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