Barker, Kevin Bradley

Barker, Kevin Bradley is an individual health care provider with primary practice located at 415 S 28Th Ave , Hattiesburg MS 39401-7246. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Barker, Kevin Bradley can be contacted via phone (601) 268-5680.

Contact Information

Primary practice address
415 S 28Th Ave Hattiesburg MS 39401-7246
Phone: (601) 268-5680
Fax: (601) 268-5778
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD.025422 Louisiana
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 20233 Mississippi

Profile Details

NPI number 1992790463
LBN Legal business name Barker, Kevin Bradley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated Jul 22nd, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992790463 NPPES
Mississippi Other 9825188 AETNA
Mississippi MEDICAID 05483521 AETNA

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