Individual provider · Type 1 NPI
Andrea Kelly Barker, MD
Vascular Surgery Physician · Gulfport, MS
NPI number
1922204130
Active
Practice location
1340 Broad Ave Ste 220
Gulfport, MS 39501-2465
Fax (228) 867-6423
Mailing address
PO Box 1810
Gulfport, MS 39502-1810
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery Physician | 208600000X | T-1879 (MS) |
| Vascular Surgery Physician | 2086S0129X | 28021 (NE) |
| Vascular Surgery Physician Primary | 2086S0129X | 21286 (MS) |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Other vascular surgery physician providers in Gulfport
About NPI 1922204130
Andrea Kelly Barker, MD's National Provider Identifier is 1922204130, issued on Jun 25, 2007. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Gulfport, MS. The record was last updated on Sep 22, 2021.