Provider Demographics
NPI:1558635912
Name:BARKER, KIRBY GORDON JR (MD)
Entity Type:Individual
Prefix:DR
First Name:KIRBY
Middle Name:GORDON
Last Name:BARKER
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5305 SAINT ANDREWS DR
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78413-2810
Mailing Address - Country:US
Mailing Address - Phone:361-992-0517
Mailing Address - Fax:
Practice Address - Street 1:5305 SAINT ANDREWS DR
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78413-2810
Practice Address - Country:US
Practice Address - Phone:361-992-0517
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-02
Last Update Date:2012-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD0788207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine