Kenneth R Barraza in Flowood - Plastic Surgery Within The Head And Neck
Kenneth R Barraza - NPI 1124063920
Kenneth R Barraza is a Plastic Surgery Within The Head And Neck in Flowood, Mississippi. Kenneth R Barraza practices all healthcare services and medical treatments related to Plastic Surgery Within The Head And Neck. The NPI Number for Kenneth R Barraza is 1124063920. The last update date is 2007-07-08.
Kenneth R Barraza's current location address is 2550 Flowood Dr, Flowood, Mississippi. You can contact this provider via phone number 6019399999 and fax number 6019390590. The mailing address for Kenneth R Barraza is 2550 Flowood Dr, Flowood, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth R Barraza |
|---|---|
| Address | 2550 Flowood Dr, Flowood, Mississippi |
| Phone Number | 6019399999 |
| Fax Number | 6019390590 |
| Sole Proprietor | X |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1124063920 |
|---|---|
| Provider Enumeration Date | 2006-06-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2550 Flowood Dr |
|---|---|
| City | Flowood |
| State | Mississippi (MS) |
| Post Code | 392329303 |
| Phone Number | 6019399999 |
| Fax Number | 6019390590 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery Within The Head And Neck |
|---|---|
| Taxonomy | 2082S0099X |
| Licence No | 10675 |
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Definition: A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kenneth R Barraza by the Centers for Medicare & Medicaid Services?
The Kenneth R Barraza has been issued the NPI (National Provider Identifier) 1124063920, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Kenneth R Barraza is geographically located?
The Kenneth R Barraza is physically situated at the following location: 2550 Flowood Dr, Flowood, MS, 392329303.
What is the area of specialization for Kenneth R Barraza, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kenneth R Barraza is Plastic Surgery Within The Head And Neck, and the corresponding taxonomy code that categorizes this area of expertise is 2082S0099X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1124063920 to Kenneth R Barraza?
The Centers for Medicare & Medicaid Services originally issued the 1124063920 to Kenneth R Barraza on 2006-06-17.
When was the Kenneth R Barraza's information last updated?
The Kenneth R Barraza's information was last updated on 2007-07-08.
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