Kerri Kathleen Barclay, M.D.

Individual provider Active NPI Pediatrics Physician · Edmond, OK

NPI 1497780308 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1497780308
Entity type
Individual (NPI type 1)
Primary specialty
Pediatrics Physician 208000000X
License
20837 (OK)
Practice address
2421 Silverfield LN
Edmond, OK 73003-1503
Phone
(405) 715-9951
Fax
(405) 715-9952
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20837OKMDPediatrics Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 20837 OK Yes

Addresses

Primary practice location

2421 Silverfield LN
Edmond, OK 73003-1503

Mailing address

2421 Silverfield LN
Edmond, OK 73003-1503
Phone (405) 715-9951

Other providers in Edmond, OK

All providers in Edmond, OK · Pediatrics Physician in Oklahoma

Sources for this page

Verify at the official NPI Registry.