Individual
KENNETH J BARKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1012 N MAIN ST, SIKESTON, MO 63801-5044
(573) 431-0330
(573) 471-0461
Mailing address
PO BOX 801143, KANSAS CITY, MO 64180-1143
(573) 331-5583
(573) 331-5079
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD36149
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180015037
RAILROAD MEDICARE PART B
MO
01
—
1812734
FIRST HEALTH/CCN NUMBER
MO
01
—
189287
HEALTHLINK NUMBER
MO
05
—
201993300
—
MO
01
—
25949
BCBS NUMBER
MO
01
—
43074141063801A076
TRICARE NUMBER
MO
Enumeration date
01/04/2006
Last updated
12/29/2020
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