Provider Demographics
NPI:1881635563
Name:BARNES, JOE L (MD)
Entity Type:Individual
Prefix:
First Name:JOE
Middle Name:L
Last Name:BARNES
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 1:119 E PARLIAMENT ST
Mailing Address - Street 2:
Mailing Address - City:SMITH CENTER
Mailing Address - State:KS
Mailing Address - Zip Code:66967-3015
Mailing Address - Country:US
Mailing Address - Phone:785-282-6834
Mailing Address - Fax:785-282-3793
Practice Address - Street 1:119 E PARLIAMENT ST
Practice Address - Street 2:
Practice Address - City:SMITH CENTER
Practice Address - State:KS
Practice Address - Zip Code:66967-3015
Practice Address - Country:US
Practice Address - Phone:785-282-6834
Practice Address - Fax:785-282-3793
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS20202207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS102948OtherBLUE CROSS/ BLUE SHIELD
KS102303OtherBLUE CROSS/ BLUE SHIELD
KS178505Medicare ID - Type Unspecified
KS102303OtherBLUE CROSS/ BLUE SHIELD