Individual
KEVEN L. BARBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
830 S GLOSTER ST, TUPELO, MS 38801-4934
(662) 377-4394
(662) 377-7045
Mailing address
P.O. BOX 3488, DEPT. 05-003, TUPELO, MS 38803
(662) 377-4394
(662) 377-4394
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R855204
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005785021
—
MS
Enumeration date
06/29/2006
Last updated
12/06/2010
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