Individual
KORT W HARSHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
636 W REPUBLIC RD, SUITE 108, SPRINGFIELD, MO 65807-5803
(417) 862-1922
(417) 862-1923
Mailing address
636 W REPUBLIC RD, SUITE 108, SPRINGFIELD, MO 65807-5803
(417) 862-1922
(471) 862-1923
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
005118
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP2562
MEDICARE ID TYPE UNSPECIFIED
MO
Enumeration date
12/06/2005
Last updated
09/15/2008
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