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Organization
HARRIS HEALTHCARE LLC
Active
Organization
HARRIS HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDITH KAY HARRIS APRN (OWNER)
(316) 721-4828
Entity
Organization
Contact information
Practice address
7348 W. 21ST ST N, SUITE 107, WICHITA, KS 67205-1765
(316) 721-4828
(316) 721-4844
Mailing address
7348 W. 21ST ST N., SUITE 107, WICHITA, KS 67205-1765
(316) 721-4828
(316) 721-4844
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160985
BCBS
KS
05
—
200001300A
—
KS
01
—
DA3337
RAILROAD MEDICARE
KS
Enumeration date
08/18/2006
Last updated
02/02/2015
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