Individual
DR. PENELOPE JANE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1501 N OAKLAND AVE, BOLIVAR, MO 65613-3020
(173) 267-2004
(417) 326-7201
Mailing address
PO BOX 256, SALINA, KS 67402-0256
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
0439005
KS
207RH0003X
Hematology & Oncology Physician
Primary
2016013783
MO
207RX0202X
Medical Oncology Physician
2016013783
MO
Other
Enumeration date
05/01/2006
Last updated
10/10/2024
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