Individual
MATT POWELL BARKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
130 W RAVINE RD, KINGSPORT, TN 37660-3837
(423) 224-4910
(423) 224-4746
Mailing address
105 W STONE DR, SUITE 6A, KINGSPORT, TN 37660-3365
(423) 408-7220
(423) 408-7405
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
17469
TN
367500000X
Certified Registered Nurse Anesthetist
3004658
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051552993
BLUECROSS
AL
05
—
051552993
—
AL
Enumeration date
07/13/2006
Last updated
06/09/2014
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