Individual
KENNETH R BARBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1008 N MAIN ST, BLOOMINGTON, IL 61701-1784
(309) 829-5311
(309) 827-8027
Mailing address
1008 N MAIN ST, BLOOMINGTON, IL 61701-1784
(309) 829-5311
(309) 827-8027
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036-099756
IL
Other
Enumeration date
06/08/2006
Last updated
11/28/2016
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