Individual
THEODORE MAHLER BARNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
(816) 302-9939
Mailing address
2401 GILLHAM RD, PROVIDER ENROLLMENT DEPT, KANSAS CITY, MO 64108-4619
(816) 701-5200
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
04-22591
KS
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
R3J31
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202905808
—
MO
Enumeration date
06/21/2006
Last updated
12/05/2025
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