Healthcare Provider Details

I. General information

NPI: 1801980438
Provider Name (Legal Business Name): HAROLD WILLIAM BARKMAN JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 06/13/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3901 RAINBOW BLVD DEPT OF INTERNAL MEDICINE
KANSAS CITY KS
66160
US

IV. Provider business mailing address

3901 RAINBOW BLVD 4070 DELP MAIL STOP 4017
KANSAS CITY KS
66160
US

V. Phone/Fax

Practice location:
  • Phone: 913-588-6000
  • Fax:
Mailing address:
  • Phone: 913-588-6045
  • Fax: 913-588-4098

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number04-22878
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number04-22878
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: