Individual
KEVIN J BARKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110001968
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010198348
—
VA
01
—
P00300996
RAILROAD MEDICARE
—
Enumeration date
06/03/2006
Last updated
02/27/2021
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