Individual
MRS. GENTRY HARDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1428 S MAIN ST, OTTAWA, KS 66067-3543
(785) 229-8891
Mailing address
200 S BROADMOOR ST, LOUISBURG, KS 66053-4020
(913) 526-2180
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
53-78992-012
KS
Other
Enumeration date
09/27/2019
Last updated
09/27/2019
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