Individual
DAVID SHANE BARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
226 MEDICAL PLAZA LN, WHITESBURG, KY 41858
(606) 633-4871
Mailing address
PO BOX 40, WHITESBURG, KY 41858-0040
(606) 633-4823
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1733DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100058260
—
KY
Enumeration date
07/17/2008
Last updated
01/03/2019
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