Kimberley Lis Barracco
DO | Pediatrics | Female
Kimberley Lis Barracco, DO is a Union, South Carolina based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Kimberley Lis Barracco is
407 W South St, Union, South Carolina - 29379. She can be contacted on phone at
864-429-8846.
Kimberley Lis Barracco is a sole proprietor of her business.
NPI number (Unique professional ID) for Kimberley Lis Barracco is
1700984366 which was assigned by NPPES on 20 Sep, 2006 and it was last updated on 23 Nov, 2020.
Kimberley Lis Barracco license number is
39076 for Pediatrics (208000000X) in South Carolina.
Kimberley Lis Barracco is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Kimberley Lis Barracco basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Kimberley Lis Barracco |
|---|
| Credential : | DO |
|---|
| Gender : | Female |
|---|
Business Address:
Kimberley Lis Barracco address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 407 W South St
Union, SC, 29379
United States |
|---|
| Phone Number : | 864-429-8846 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1700984366 |
|---|
| NPI Entity Type : | Individual |
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| First Enrolment Date : | 20 Sep, 2006 |
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| Last Updated On : | 23 Nov, 2020 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kimberley Lis Barracco are as mentioned. Primary taxonomy code for Kimberley Lis Barracco, DO is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 39076 | SC |
| 208000000X | Pediatrics | No | 2064 | WV |
Legacy Identifiers:
Other legacy medical identifiers of Kimberley Lis Barracco such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 001879423 | Other | | BLUE CROSS BLUE SHEILD |
| 7070869 | Other | | AETNA |
| SCC510H895 | Other | SC | MEDICARE PIN |
| 3810005951 | MEDICAID | WV | |
| 390767 | MEDICAID | SC | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | kbarracco77946@direct-srhs.et0939.epichosted.com
| No affiliation | DIRECT
Direct
| OTHER
Other
kbarracco77946@direct-srhs.et0939.epichosted.com | 407 W SOUTH ST,
UNION, SC, 29379
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 2168
Spartanburg, SC, 29304-2168
United States |
|---|
| Phone Number : | 864-560-4304 |
|---|
| Fax Number : | 864-560-4413 |
|---|
Business Location:
Patients can refer following map for directions to
Kimberley Lis Barracco practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.