Individual
KYLE HARLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA-C
Contact information
Practice address
3801 S NATIONAL AVE, SPRINGFIELD, MO 65807-5210
(417) 269-6000
(417) 269-4558
Mailing address
1000 E PRIMROSE ST, SUITE 520, SPRINGFIELD, MO 65807-5154
(417) 269-4550
(417) 269-4558
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
—
Other
Enumeration date
05/26/2015
Last updated
05/08/2019
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