MEDICARE: DR. ROBERT KYLE BARNETT M.D.

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
1	207RG0100X	Gastroenterology Physician	178580-1205	UT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134119357
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT KYLE BARNETT M.D.

Provider Business Mailing Address
First Line	:	1393 E SEGO LILY DR
Second Line	:
City	:	SANDY
State	:	UT
Zip	:	84092-4350
Country	:	US
Telephone Number	:	801-619-9000
Fax Number	:	801-619-9001

Provider Business Practice Location Address
First Line	:	1393 E SEGO LILY DR
Second Line	:
City	:	SANDY
State	:	UT
Zip	:	84092-4350
Country	:	US
Telephone Number	:	801-619-9000
Fax Number	:	801-619-9001

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2005
Last Update Date	:	10/22/2019

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