Individual
KENNETH J BARKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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