Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIMBERLEY LIS BARRACCO, DO
ActivePediatrics · SAINT ALBANS, WV
Registration Details
- NPI Number
- 1700984366
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 20, 2006 (19.645840007948 yrs)
- Last Updated
- Sep 18, 2023
- Licenses
-
39076 (SC)2064 (WV)
Practice Information
- Address
-
12 KANAWHA TERSAINT ALBANS, WV, 251772750Browse WV providers · Browse ZIP 25177
- Phone
- 3047576999
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Pediatrics
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.