Provider Demographics
NPI:1770654451
Name:BARLOW, KEVIN THOMAS (AUD)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:THOMAS
Last Name:BARLOW
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 1ST ST S
Mailing Address - Street 2:
Mailing Address - City:WINTER HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:33880-3601
Mailing Address - Country:US
Mailing Address - Phone:863-293-6507
Mailing Address - Fax:863-291-0737
Practice Address - Street 1:510 1ST ST S
Practice Address - Street 2:
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33880-3601
Practice Address - Country:US
Practice Address - Phone:863-293-6507
Practice Address - Fax:863-291-0737
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2012-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY235231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLS0887ZMedicare ID - Type UnspecifiedAUDIOLOGIST