Provider Demographics
NPI:1124755368
Name:BARBEE, MARY K
Entity type:Individual
Prefix:MRS
First Name:MARY
Middle Name:K
Last Name:BARBEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11945 N 152ND EAST AVE
Mailing Address - Street 2:
Mailing Address - City:COLLINSVILLE
Mailing Address - State:OK
Mailing Address - Zip Code:74021-5267
Mailing Address - Country:US
Mailing Address - Phone:918-407-6279
Mailing Address - Fax:
Practice Address - Street 1:11945 N 152ND EAST AVE
Practice Address - Street 2:
Practice Address - City:COLLINSVILLE
Practice Address - State:OK
Practice Address - Zip Code:74021-5267
Practice Address - Country:US
Practice Address - Phone:918-407-6279
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-08
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist