# BARRY L KRICSFELD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1083668636
- **Gender:** Man
- **Credential:** MD FACP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 12688 | NE | — |
| 207R00000X | Internal Medicine Physician | 20071 | IA | Yes |

## Other

- **Enumeration date:** 05/19/2006
- **Last updated:** 08/15/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0129429 | — | IA |
| 05 | — | 10026480110 | — | NE |
| 05 | — | 1083668636 | — | IA |