Provider Demographics
NPI:1336555317
Name:KEARN, BARBARA (PHARMD)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:KEARN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 QUAIL VALLEY EST
Mailing Address - Street 2:
Mailing Address - City:GARDEN PLAIN
Mailing Address - State:KS
Mailing Address - Zip Code:67050-9195
Mailing Address - Country:US
Mailing Address - Phone:316-680-5290
Mailing Address - Fax:
Practice Address - Street 1:1402 S RIDGE RD
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67209-2908
Practice Address - Country:US
Practice Address - Phone:316-945-7455
Practice Address - Fax:316-945-7457
Is Sole Proprietor?:No
Enumeration Date:2014-07-10
Last Update Date:2014-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-13819183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist