# HARRIS HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679687412
- **Authorized official:** MRS. JUDITH KAY HARRIS APRN (OWNER)
- **Authorized official phone:** (316) 721-4828

## Contact information

- **Practice address:** 7348 W. 21ST ST N, SUITE 107, WICHITA, KS 67205-1765
- **Practice address phone:** (316) 721-4828
- **Practice address fax:** (316) 721-4844
- **Mailing address:** 7348 W. 21ST ST N., SUITE 107, WICHITA, KS 67205-1765
- **Mailing address phone:** (316) 721-4828
- **Mailing address fax:** (316) 721-4844

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/18/2006
- **Last updated:** 02/02/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 160985 | BCBS | KS |
| 05 | — | 200001300A | — | KS |
| 01 | — | DA3337 | RAILROAD MEDICARE | KS |