Provider Demographics
NPI:1770809220
Name:BARBER, KENNA BROOKE (ND)
Entity type:Individual
Prefix:DR
First Name:KENNA
Middle Name:BROOKE
Last Name:BARBER
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4131 ZENOBIA ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80212-2235
Mailing Address - Country:US
Mailing Address - Phone:720-675-9355
Mailing Address - Fax:303-455-0729
Practice Address - Street 1:4131 ZENOBIA ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80212-2235
Practice Address - Country:US
Practice Address - Phone:720-675-9355
Practice Address - Fax:303-455-0729
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-08
Last Update Date:2010-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ09-1109175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath