Healthcare Provider Details

I. General information

NPI: 1679845812
Provider Name (Legal Business Name): JOSEPH BARNTHOUSE MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2012
Last Update Date: 02/03/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 CARONDELET DR SUITE 401
KANSAS CITY MO
64114-4859
US

IV. Provider business mailing address

1010 CARONDELET DR SUITE 401
KANSAS CITY MO
64114-4859
US

V. Phone/Fax

Practice location:
  • Phone: 816-943-8004
  • Fax: 816-943-8199
Mailing address:
  • Phone: 816-943-8004
  • Fax: 816-943-8199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberR6H22
License Number StateMO

VIII. Authorized Official

Name: JOSEPH BARNTHOUSE
Title or Position: PRESIDENT
Credential: MD
Phone: 816-943-8004