Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | E12396 | AR |
NPI | 1013303700 |
---|---|
Provider Name | Dr. Kevin Anthony Barber |
First Address | North Little Rock, AR 72117-2937 |
Second Address | North Little Rock, AR 72117-2937 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2015 |
Last Update Date | 28/02/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
234883001 | (05) | AR |