Individual
JACQUELINE HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4061 INDIAN CREEK PKWY, OVERLAND PARK, KS 66207-4030
(913) 323-4600
(913) 323-4748
Mailing address
901 E. 104TH ST., MAILSTOP 400N, KANSAS CITY, MO 64131-9712
(816) 502-7104
(816) 932-9670
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-40188
KS
Other
Enumeration date
06/27/2014
Last updated
02/15/2018
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