# BRIAN S HARVEY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1669633160
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 05-35684 | KS | — |
| 208000000X | Pediatrics Physician | 2017033689 | MO | — |
| 2080S0010X | Pediatric Sports Medicine Physician | 05-35684 | KS | — |
| 2080S0010X | Pediatric Sports Medicine Physician | 2017033689 | MO | Yes |

## Other

- **Enumeration date:** 06/18/2008
- **Last updated:** 10/30/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200877130A | — | KS |
