Healthcare Provider Details

I. General information

NPI: 1487607420
Provider Name (Legal Business Name): LINDA R. BARBOUR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2555 NORTERRE CIR
LIBERTY MO
64068-3412
US

IV. Provider business mailing address

241 NW NORTH SHORE DR
LAKE WAUKOMIS MO
64151-1457
US

V. Phone/Fax

Practice location:
  • Phone: 816-479-4793
  • Fax: 913-825-6358
Mailing address:
  • Phone: 913-634-3540
  • Fax: 913-825-6358

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number04-31903
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number2006007778
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: