Provider Demographics
NPI:1821012568
Name:MCKEOWN, BARBARA ANN (COTA/L, CEAS)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:ANN
Last Name:MCKEOWN
Suffix:
Gender:F
Credentials:COTA/L, CEAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5009 NE DAVIDSON RD
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64118-5306
Mailing Address - Country:US
Mailing Address - Phone:816-454-0321
Mailing Address - Fax:
Practice Address - Street 1:8630 N OAK TRFY
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64155-2471
Practice Address - Country:US
Practice Address - Phone:816-420-9005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2020-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2004024032224Z00000X
KS18-00603224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant