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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922204130 NPPES
Mississippi MEDICAID 1922201430

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