Provider Demographics
NPI:1427133255
Name:BARR, KAREN PATRICIA (MD)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:PATRICIA
Last Name:BARR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:943 MAPLE DR LOWR LEVEL
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26505-2812
Mailing Address - Country:US
Mailing Address - Phone:304-598-4830
Mailing Address - Fax:
Practice Address - Street 1:943 MAPLE DR LOWR LEVEL
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26505-2812
Practice Address - Country:US
Practice Address - Phone:304-598-4830
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00041833208100000X
WV27630208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
285140OtherINTERNAL ID-MOTOR VEHICLE ID
WA1427133255Medicaid
WAP00322373OtherRAIL ROAD MEDICARE
WA0230691OtherL&I
WAP00322373OtherRAIL ROAD MEDICARE
WA0230691OtherL&I
G59589Medicare UPIN