Provider Demographics
NPI:1083666101
Name:BARROWS, KIMBERLY A (MD)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:A
Last Name:BARROWS
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 1:6327 BURLINGAME ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48204-1301
Mailing Address - Country:US
Mailing Address - Phone:478-213-7740
Mailing Address - Fax:478-205-0223
Practice Address - Street 1:6327 BURLINGAME ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48204-1301
Practice Address - Country:US
Practice Address - Phone:478-213-7740
Practice Address - Fax:478-205-0223
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA051207207Q00000X
NE26361207Q00000X
CO47259207Q00000X
MI4301104391207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA533244426BMedicaid
I50123Medicare UPIN
GA08CBBJGMedicare ID - Type Unspecified