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NPI Code Detail

MEDICARE: KEATHERN MART BARR

MEDICARE: KEATHERN MART BARR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1356473706
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEATHERN MART BARR
Provider Business Mailing Address
First Line : 1075 GALAPAGO ST
Second Line :
City : DENVER
State : CO
Zip : 80204-3942
Country : US
Telephone Number : 303-504-6802
Fax Number :
Provider Business Practice Location Address
First Line : 1075 GALAPAGO ST
Second Line :
City : DENVER
State : CO
Zip : 80204-3942
Country : US
Telephone Number : 303-504-6802
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2007
Last Update Date : 07/08/2007

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Directions to “ KEATHERN MART BARR ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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