Provider Demographics
NPI:1245398437
Name:BARKER, HEIDI KATHLEEN (DO)
Entity Type:Individual
Prefix:MS
First Name:HEIDI
Middle Name:KATHLEEN
Last Name:BARKER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:HEIDI
Other - Middle Name:KATHLEEN
Other - Last Name:MORGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:PO BOX 2699
Mailing Address - Street 2:SHMG/HPE
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32513-2699
Mailing Address - Country:US
Mailing Address - Phone:850-994-5010
Mailing Address - Fax:850-994-0272
Practice Address - Street 1:5565 WOODBINE RD
Practice Address - Street 2:
Practice Address - City:PACE
Practice Address - State:FL
Practice Address - Zip Code:32571-8768
Practice Address - Country:US
Practice Address - Phone:850-994-5010
Practice Address - Fax:850-994-0272
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2014-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0116018873208D00000X
NE6528208000000X
FLOS12754208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice