Individual
KELLY HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 S STATE ROUTE 291, INDEPENDENCE, MO 64057-1201
(816) 373-9328
Mailing address
2301 S STATE ROUTE 291, INDEPENDENCE, MO 64057-1201
(816) 373-9328
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2008025801
MO
Other
Enumeration date
07/29/2008
Last updated
06/02/2010
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