Barker, Andrea Kelly
Barker, Andrea Kelly is an sole proprietor health care provider with primary practice located at 1340 Broad Ave Ste 220 , Gulfport MS 39501-2465. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is her primary health care specialty. Barker, Andrea Kelly can be contacted via phone (228) 575-1300.Contact Information
Primary practice address
1340 Broad Ave Ste 220
Gulfport MS 39501-2465
Phone: (228) 575-1300
Fax: (228) 867-6423
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | T-1879 | Mississippi |
Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 28021 | Nebraska |
Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 21286 | Mississippi |
Profile Details
NPI number | 1922204130 |
---|---|
LBN Legal business name | Barker, Andrea Kelly |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 25th, 2007 |
Last updated | Sep 22nd, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1922204130 | NPPES |
Mississippi | MEDICAID | 1922201430 |
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