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NPI Code Detail

MEDICARE: TIFFANY BARKLEY D.O.

MEDICARE:   TIFFANY  BARKLEY  D.O.
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
12084N0402XNeurology with Special Qualifications in Child Neurology Physician05-43102KS
22084V0102XVascular Neurology Physician05-43102KS
32084N0400XNeurology Physician05-43102KS

General Provider Information

NPI Number : 1740675891
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIFFANY BARKLEY D.O.
Provider Business Mailing Address
First Line : 3901 RAINBOW BLVD NEUROLOGY DEPARTMENT
Second Line :
City : KANSAS CITY
State : KS
Zip : 66160-1104
Country : US
Telephone Number : 913-588-1227
Fax Number :
Provider Business Practice Location Address
First Line : 4000 CAMBRIDGE ST
Second Line :
City : KANSAS CITY
State : KS
Zip : 66160-4619
Country : US
Telephone Number : 913-588-1227
Fax Number : 913-588-6965
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2015
Last Update Date : 09/27/2021

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