Provider Demographics
NPI:1053416057
Name:BARNETT, KAREN ROSE (MD)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:ROSE
Last Name:BARNETT
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 1:59 LAWRENCE ST
Mailing Address - Street 2:
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844-4447
Mailing Address - Country:US
Mailing Address - Phone:978-685-0977
Mailing Address - Fax:978-685-4394
Practice Address - Street 1:59 LAWRENCE ST
Practice Address - Street 2:
Practice Address - City:METHUEN
Practice Address - State:MA
Practice Address - Zip Code:01844-4447
Practice Address - Country:US
Practice Address - Phone:978-685-0977
Practice Address - Fax:978-685-4394
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA54205208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics