Individual
DR. KEVIN BRADLEY BARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 268-5680
(601) 268-5778
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 268-5680
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
20233
MS
207RG0100X
Gastroenterology Physician
MD.025422
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05483521
—
MS
01
—
9825188
AETNA
MS
Enumeration date
09/12/2005
Last updated
07/22/2020
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