Individual ProviderKathryn BarkerNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address9900 Bren Rd E, Minnetonka, MN 55343-9664(478) 952-6740PECOS EnrollmentBased on the most recent information from CMS, provider Kathryn Barker does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1598960767Provider TypeIndividualFull NameBarker, KathrynCredentialNPGenderFemaleSole ProprietorNoEnumeration Date6/18/2007Last Updated9/17/2020Contact InformationPractice LocationPractice Address9900 Bren Rd E, Minnetonka, MN 55343-9664Phone(478) 952-6740FaxUnlisted FaxMailing LocationMailing Address9900 Bren Rd E, Minnetonka, MN 55343-9664PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseRN121272GeorgiaProvider IdentifiersIDDescriptionIssuerIDRN121272DescriptionOtherIssuerRN LICENSEGeorgia