Healthcare Provider Details

I. General information

NPI: 1114934858
Provider Name (Legal Business Name): BARBARA LYNN CARR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BARBARA DIETRICH M.D.

II. Dates (important events)

Enumeration Date: 08/02/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4401 WORNALL ROAD SUITE 2718
KANSAS CITY MO
64111
US

IV. Provider business mailing address

4401 WORNALL ROAD SUITE 2718
KANSAS CITY MO
64111
US

V. Phone/Fax

Practice location:
  • Phone: 816-932-2493
  • Fax: 816-932-6139
Mailing address:
  • Phone: 816-932-2493
  • Fax: 816-932-6139

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number102911
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number102911
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: