Provider Demographics
NPI:1255085676
Name:BARRETT, KALEIGH CARRIGAN
Entity type:Individual
Prefix:
First Name:KALEIGH
Middle Name:CARRIGAN
Last Name:BARRETT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 S 7TH ST APT 8
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:NY
Mailing Address - Zip Code:14092-1749
Mailing Address - Country:US
Mailing Address - Phone:315-807-8479
Mailing Address - Fax:
Practice Address - Street 1:145 MOULTON AVE
Practice Address - Street 2:
Practice Address - City:TONAWANDA
Practice Address - State:NY
Practice Address - Zip Code:14223-2019
Practice Address - Country:US
Practice Address - Phone:716-597-9453
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-04
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY821490163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse