Provider Demographics
NPI:1861461196
Name:BARBER, KEVIN GEORGE (DO)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:GEORGE
Last Name:BARBER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1318 S MAIN RD
Mailing Address - Street 2:BUILDING #3
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08360-6516
Mailing Address - Country:US
Mailing Address - Phone:856-205-9900
Mailing Address - Fax:856-205-0041
Practice Address - Street 1:1318 S MAIN RD
Practice Address - Street 2:BUILDING #3
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360-6516
Practice Address - Country:US
Practice Address - Phone:856-205-9900
Practice Address - Fax:856-205-0041
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2009-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB03711900207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
F17425OtherHEALTH NET
P394641OtherOXFORD
10003532OtherAMERICHOICE
5414616OtherAETNA USHC PPO
864956OtherAARP
0098515000OtherAMERIHEALTH HMO
1034163OtherHORIZON MERCY
33455OtherAMERIGROUP
1285312006OtherCIGNA
1869095OtherFIRST HEALTH
0033433OtherAETNA USHC HMO
NJ2448203Medicaid
412486OtherAMERIHEALTH PPO
33455OtherAMERIGROUP
412486OtherAMERIHEALTH PPO