Individual
DR. BARRY LISKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-0001
(913) 588-6412
(913) 588-6414
Mailing address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-0001
(913) 588-6412
(913) 588-6414
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
04-18415
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27387012
BCBS KANSAS CITY
MO
Enumeration date
09/27/2006
Last updated
07/09/2007
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