Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 14843 | KS |
N | 207Q00000X | Family Doctor | 16311 | WA |
N | 207QG0300X | Family Doctor - Geriatric Medicine | 31968 | MO |
NPI | 1184660243 |
---|---|
Provider Name | Dr. David Robert Barry |
First Address | Topeka, KS 66622-0001 |
Second Address | Topeka, KS 66622-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2006 |
Last Update Date | 11/07/2007 |