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Kenneth R Barba, MD
Specialist in Bloomington, Illinois
NPI 1265473706

Kenneth R Barba is a Specialist based in Bloomington, IL. Kenneth R Barba practices in Bloomington, IL and has the professional credentials of MD. The NPI Number for Kenneth R Barba is 1265473706 and holds a License No. 036-099756 (Illinois).

The current practice location address for Kenneth R Barba is 1008 N Main St, Bloomington, IL and can be reached out via phone at 309-829-5311 and via fax at 309-827-8027.

Location: 1008 N Main St, Bloomington, IL, 61701-1784
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265473706
Provider Name
Kenneth R Barba
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1008 N Main St, Bloomington, IL, 61701-1784
Phone Number
309-829-5311
Fax Number
309-827-8027
Provider Enumeration Date
06/08/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1008 N Main St
City
Bloomington
State
Illinois
Zip
61701-1784
Phone Number
309-829-5311
Fax Number
309-827-8027
person
Provider Business Mailing Address Details
Address
1008 N Main St
City
Bloomington
State
Illinois
Zip
61701-1784
Phone Number
309-829-5311
Fax Number
309-827-8027
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
036-099756 (Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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