Provider Demographics
NPI: | 1710952072 |
---|---|
Name: | BARR, WILLIAM KENT (MD) |
Entity Type: | Individual |
Prefix: | DR |
First Name: | WILLIAM |
Middle Name: | KENT |
Last Name: | BARR |
Suffix: | |
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: | 2790 CLAY EDWARDS DR |
Mailing Address - Street 2: | SUITE 520 |
Mailing Address - City: | NORTH KANSAS CITY |
Mailing Address - State: | MO |
Mailing Address - Zip Code: | 64116-3276 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 816-221-6750 |
Mailing Address - Fax: | 816-221-2335 |
Practice Address - Street 1: | 2790 CLAY EDWARDS DR |
Practice Address - Street 2: | SUITE 520 |
Practice Address - City: | NORTH KANSAS CITY |
Practice Address - State: | MO |
Practice Address - Zip Code: | 64116-3276 |
Practice Address - Country: | US |
Practice Address - Phone: | 816-221-6750 |
Practice Address - Fax: | 816-221-2335 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2006-02-21 |
Last Update Date: | 2017-01-19 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
MO | R8D10 | 207RC0000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 207RC0000X | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
10949095 | Other | BSBS OF KC INDIV # | |
P00126702 | Other | RAILROAD MEDICARE | |
R086659 | Medicare PIN | ||
10949095 | Other | BSBS OF KC INDIV # |