Individual
KELLY BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 MILITARY AVE, BAXTER SPRINGS, KS 66713-1509
(620) 856-3030
Mailing address
1010 E 34TH ST, BAXTER SPRINGS, KS 66713-2914
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-12070
KS
183500000X
Pharmacist
2003023566
MO
Other
Enumeration date
08/11/2016
Last updated
08/11/2016
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