NPI

Kenneth Barry

NPI 1053713347

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Type
Individual
Enumeration date
2014-09-18
Last updated
2014-09-18

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Specialties

Licenses

License CA
25477

Location

Practice location
1252 Airport Park Blvd, Suite D1
City
Ukiah CA
Postal code
95482-5979
Phone
(707) 462-8719

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

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