Provider Demographics
NPI:1497780308
Name:BARCLAY, KERRI KATHLEEN (MD)
Entity Type:Individual
Prefix:
First Name:KERRI
Middle Name:KATHLEEN
Last Name:BARCLAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2421 SILVERFIELD LN
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73003-1503
Mailing Address - Country:US
Mailing Address - Phone:405-715-9951
Mailing Address - Fax:405-715-9952
Practice Address - Street 1:2421 SILVERFIELD LN
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73003-1503
Practice Address - Country:US
Practice Address - Phone:405-715-9951
Practice Address - Fax:405-715-9952
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK20837208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics