Most Relevant Information
Provider Data
| NPI Number: | 1003579327 |
| Provider Name: | KELSEY HARRIS PHYSICIAN ASSISTANT |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/14/2021 |
| Last Updated: | 06/21/2023 |
Provider Practice Location
201 NW R D MIZE RD
BLUE SPRINGS
MO
640142513
Practice Location Phone/Fax
| Phone: | 8162285900 |
| Fax: |
Provider Mailing Location
201 NW R D MIZE RD
BLUE SPRINGS
MO
640142513
Provider Mailing Phone/Fax
| Phone: | 3147957859 |
| Fax: |