Individual
KELLY HARPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
550 N HILLSIDE ST, WICHITA, KS 67214-4910
(316) 962-2239
Mailing address
PO BOX 548, WICHITA, KS 67201-0548
(316) 962-2239
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-00486
KS
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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