# THEODORE MAHLER BARNETT

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

## Provider details

- **NPI number:** 1861438640
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080P0204X | Pediatric Emergency Medicine (Pediatrics) Physician | 04-22591 | KS | — |
| 2080P0204X | Pediatric Emergency Medicine (Pediatrics) Physician | R3J31 | MO | Yes |

## Other

- **Enumeration date:** 06/21/2006
- **Last updated:** 12/05/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 202905808 | — | MO |