Individual
COREY HARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
520 S SANTA FE AVE STE 240, SALINA, KS 67401-4190
(785) 452-7366
(785) 452-7354
Mailing address
5350 N 199TH ST W, COLWICH, KS 67030-9621
(316) 734-0321
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
15-02188
KS
363AS0400X
Surgical Physician Assistant
Primary
15-02188
KS
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201234100A
—
KS
Enumeration date
12/28/2018
Last updated
03/11/2020
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