Doctor Name: | MS. KELLI DIANE BARBOUR |
NPI Number: | 1871811919 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 11015674A |
Business Practice Address: | 50 N Medical Dr Salt Lake City, UT - 841320100 |
Business Phone Number: | 8015818425 |
Business Fax Number: | |
Mailing Address: | Po Box 413028, SALT LAKE CITY |
State: | UT |
Postal Code: | 841413028 |
Phone Number: | 8012133900 |
Fax Number: | |
NPI Enumeration Date: | 05/13/2010 |
NPI Last Update Date: | 06/20/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 11015674A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |