Organization
BARBARA J. COOK, M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA JUNE COOK M.D. (MANAGER)
(402) 314-8328
Entity
Organization
Contact information
Practice address
104 N KENNEDY ST, WICHITA, KS 67235-7701
(402) 314-8328
Mailing address
104 N KENNEDY ST, WICHITA, KS 67235-7701
(402) 314-8328
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
04-38755
KS
207U00000X
Nuclear Medicine Physician
20860
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-38755
KANSAS MEDICAL LICENSE
KS
01
—
20860
NEBRASKA MEDICAL LICENSE
NE
Enumeration date
09/06/2016
Last updated
03/07/2023
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