Provider Demographics
NPI:1649630393
Name:BARNES, KYLIE NICOLE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KYLIE
Middle Name:NICOLE
Last Name:BARNES
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 1:14018 ASH DR
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66224-3538
Mailing Address - Country:US
Mailing Address - Phone:417-860-6225
Mailing Address - Fax:
Practice Address - Street 1:2464 CHARLOTTE ST
Practice Address - Street 2:SUITE 4250
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64108-2718
Practice Address - Country:US
Practice Address - Phone:816-235-2187
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-23
Last Update Date:2016-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2010027141183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist