Individual
MR. KENNETH ONEIL BARKER II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5400 FRED DR, SOUTHSIDE, AL 35907-5403
(256) 312-3760
Mailing address
1195 SUMMERSET PL S, SOUTHSIDE, AL 35907-5156
(256) 312-3760
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
143747
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
AL
Other
Enumeration date
06/26/2021
Last updated
05/05/2023
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