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NPI Code Detail

MEDICARE: LILIAN BARNES

MEDICARE: LILIAN BARNES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner2020002597MO

General Provider Information

NPI Number : 1104458116
Entity Type Code : Individual
Provider Name (Legal Business Name) : LILIAN BARNES
Provider Business Mailing Address
First Line : 3404 SOUTHERN HILLS DR
Second Line :
City : KANSAS CITY
State : MO
Zip : 64137-2118
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3404 SOUTHERN HILLS DR
Second Line :
City : KANSAS CITY
State : MO
Zip : 64137-2118
Country : US
Telephone Number : 913-710-6607
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2020
Last Update Date : 02/07/2020

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Directions to “ LILIAN BARNES ” Practice Location

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