Provider Demographics
NPI:1659557726
Name:BARKLEY, RACHEL INES (LD)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:INES
Last Name:BARKLEY
Suffix:
Gender:F
Credentials:LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9418
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77387-9418
Mailing Address - Country:US
Mailing Address - Phone:866-249-9736
Mailing Address - Fax:713-344-9420
Practice Address - Street 1:1428 S 32ND ST
Practice Address - Street 2:STE. 100
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66106-2106
Practice Address - Country:US
Practice Address - Phone:913-831-1111
Practice Address - Fax:913-831-0623
Is Sole Proprietor?:No
Enumeration Date:2008-01-18
Last Update Date:2008-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1002133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered