Provider Demographics
NPI:1760509707
Name:BARKER, PATSY (MD)
Entity Type:Individual
Prefix:DR
First Name:PATSY
Middle Name:
Last Name:BARKER
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 1:1035 N EMPORIA ST STE 185
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67214-2993
Mailing Address - Country:US
Mailing Address - Phone:316-265-3774
Mailing Address - Fax:316-265-0360
Practice Address - Street 1:315 N HILLSIDE ST STE B
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67214-4915
Practice Address - Country:US
Practice Address - Phone:316-265-3774
Practice Address - Fax:316-265-0360
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2018-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSKS 19744208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSE 98575Medicare UPIN