Individual
KEVIN M BARBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1592 SOUTH STATE ROAD 15-A, DELAND, FL 32720
(386) 734-2931
(386) 734-2939
Mailing address
1592 SOUTH STATE ROAD 15-A, DELAND, FL 32720
(386) 734-2931
(386) 734-2939
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME96319
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AF6552
MEDICARE PTAN
FL
01
—
P00477812
MEDICARE RR
FL
Enumeration date
10/12/2005
Last updated
07/30/2014
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