Provider Demographics
NPI:1326307596
Name:BARGER, KATHERINE G (MD)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:G
Last Name:BARGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:BARGER
Other - Last Name:LUND
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:111 S HIGHLAND ST # 114
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38111-4640
Mailing Address - Country:US
Mailing Address - Phone:901-616-1234
Mailing Address - Fax:
Practice Address - Street 1:111 S HIGHLAND ST # 113
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38111-4640
Practice Address - Country:US
Practice Address - Phone:901-616-1234
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-09
Last Update Date:2024-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN52943208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics