Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 2008018695 | MO |
N | 208600000X | Surgeon | 2008018695 | MO |
Y | 2086S0102X | Surgical Critical Care | 2008018695 | MO |
N | 2086S0127X | Trauma Surgeon | 2008018695 | MO |
NPI | 1326016312 |
---|---|
Provider Name | Dr. Stephen Barnes |
First Address | Kansas City, MO 64184-3966 |
Second Address | Columbia, MO 65212-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2006 |
Last Update Date | 22/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2416791 | (05) | OH |
H64873 | (02) | OH |