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Individual

JOSEPH W BARRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8800 STATE LINE ROAD, LEAWOOD, KS 66206-1553
(913) 383-9099
(913) 383-3103
Mailing address
8800 STATE LINE ROAD, LEAWOOD, KS 66206-1553
(913) 383-9099
(913) 383-9611

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
0426347
KS
207RI0200X
Infectious Disease Physician
Primary
04-26347
KS
207RI0200X
Infectious Disease Physician
110478
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0009375
MEDICARE
MO
05
100191590B
KS
05
208841213
MO
Enumeration date
06/15/2005
Last updated
05/10/2021
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