Healthcare Provider Details

I. General information

NPI: 1043741473
Provider Name (Legal Business Name): KEVIN ANDREW BARKLEY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2017
Last Update Date: 01/23/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3291 LOMA VISTA RD
VENTURA CA
93003
US

IV. Provider business mailing address

3418 LOMA VISTA RD SUITE A
VENTURA CA
93003
US

V. Phone/Fax

Practice location:
  • Phone: 805-642-8565
  • Fax: 805-642-8564
Mailing address:
  • Phone: 805-642-8565
  • Fax: 805-642-8564

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberA172691
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: