Healthcare Provider Details

I. General information

NPI: 1013303700
Provider Name (Legal Business Name): KEVIN ANTHONY BARBER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2015
Last Update Date: 02/28/2020
Certification Date: 02/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3401 SPRINGHILL DR STE 390
NORTH LITTLE ROCK AR
72117-2937
US

IV. Provider business mailing address

3401 SPRINGHILL DR STE 390
NORTH LITTLE ROCK AR
72117-2937
US

V. Phone/Fax

Practice location:
  • Phone: 501-835-9444
  • Fax:
Mailing address:
  • Phone: 501-835-9444
  • Fax: 501-835-9731

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberE12396
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: