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Individual

BARRY KENNEDY RAYBURN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
0101272859
VA
207RC0000X
Cardiovascular Disease Physician
Primary
MD.21024
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
41301
HEALTHSPRING OF ALABAMA
AL
01
E33965
VIVA
AL
Enumeration date
07/09/2006
Last updated
05/20/2022
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