Provider Demographics
NPI:1215003017
Name:BARNEY, KAY DONNA (DO)
Entity Type:Individual
Prefix:DR
First Name:KAY
Middle Name:DONNA
Last Name:BARNEY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9918 NW 45 HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:PARKVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:64152-3120
Mailing Address - Country:US
Mailing Address - Phone:816-587-2828
Mailing Address - Fax:816-587-2956
Practice Address - Street 1:9918 NW 45 HIGHWAY
Practice Address - Street 2:
Practice Address - City:PARKVILLE
Practice Address - State:MO
Practice Address - Zip Code:64152-3120
Practice Address - Country:US
Practice Address - Phone:816-587-2828
Practice Address - Fax:816-587-2956
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR3A54207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO241278712Medicaid
MO241278712Medicaid
0004397Medicare ID - Type Unspecified