Provider Demographics
NPI:1003529140
Name:BARRON, COURTNEY
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:
Last Name:BARRON
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 1:18177 STATE ROUTE Z
Mailing Address - Street 2:
Mailing Address - City:COSBY
Mailing Address - State:MO
Mailing Address - Zip Code:64436-9139
Mailing Address - Country:US
Mailing Address - Phone:816-689-7515
Mailing Address - Fax:
Practice Address - Street 1:18177 STATE ROUTE Z
Practice Address - Street 2:
Practice Address - City:COSBY
Practice Address - State:MO
Practice Address - Zip Code:64436-9139
Practice Address - Country:US
Practice Address - Phone:816-689-7515
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-04
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No174200000XOther Service ProvidersMeals
No251G00000XAgenciesHospice Care, Community Based
No372600000XNursing Service Related ProvidersAdult Companion
No374U00000XNursing Service Related ProvidersHome Health Aide