Basic Information
Provider Information
NPI: 1225154875
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BARNES
FirstName: COURTNEY
MiddleName: LEIGH
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: BARR
OtherFirstName: COURTNEY
OtherMiddleName: LEIGH
OtherNamePrefix: DR.
OtherNameSuffix:  
OtherCredential: M.D.
OtherLastNameType: 1
Mailing Information
Address1: PO BOX 843966
Address2:  
City: KANSAS CITY
State: MO
PostalCode: 641843966
CountryCode: US
TelephoneNumber: 5738843300
FaxNumber: 5738840943
Practice Location
Address1: 404 N KEENE ST
Address2:  
City: COLUMBIA
State: MO
PostalCode: 652016626
CountryCode: US
TelephoneNumber: 5734996084
FaxNumber: 5734996088
Other Information
ProviderEnumerationDate: 03/22/2007
LastUpdateDate: 05/10/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000X2009006840MOY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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