MEDICARE: JON F BARR 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	174400000X	Specialist	04-22879	KS

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	024766	OTHER	KS	MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1225039480
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JON F BARR M.D.

Provider Business Mailing Address
First Line	:	3310 CLINTON PARKWAY CT
Second Line	:
City	:	LAWRENCE
State	:	KS
Zip	:	66047-2629
Country	:	US
Telephone Number	:	785-842-7200
Fax Number	:	785-842-9397

Provider Business Practice Location Address
First Line	:	3310 CLINTON PARKWAY CT
Second Line	:
City	:	LAWRENCE
State	:	KS
Zip	:	66047-2629
Country	:	US
Telephone Number	:	785-842-7200
Fax Number	:	785-842-9397

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

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	01/24/2014

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Directions to “ JON F BARR M.D.” Practice Location

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