Provider Demographics
NPI:1174614085
Name:EDWARDS, BARBARA JEAN
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:JEAN
Last Name:EDWARDS
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 1:3533 SE 35TH ST
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66605-3137
Mailing Address - Country:US
Mailing Address - Phone:785-266-8226
Mailing Address - Fax:785-357-0918
Practice Address - Street 1:3533 SE 35TH ST
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66605-3137
Practice Address - Country:US
Practice Address - Phone:785-266-8226
Practice Address - Fax:785-357-0918
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2007-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS48155OtherBLUE CROSS BLUE SHIELD
KS0965740001Medicare NSC