Provider Demographics
NPI:1548293095
Name:KEIRNS, BARBARA A (MD)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:A
Last Name:KEIRNS
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 1:112 N EWING ST
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-3307
Mailing Address - Country:US
Mailing Address - Phone:740-689-6690
Mailing Address - Fax:740-689-6698
Practice Address - Street 1:112 N EWING ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-3307
Practice Address - Country:US
Practice Address - Phone:740-689-6690
Practice Address - Fax:740-689-6698
Is Sole Proprietor?:No
Enumeration Date:2006-07-08
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.149678207V00000X
MDD0081015207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD108743600Medicaid
NY02136556Medicaid
MD108743600Medicaid