Individual
BRIAN S HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
(816) 302-9939
Mailing address
2401 GILLHAM RD., PROVIDER ENROLLMENT, KANSAS CITY, MO 64108-4619
(816) 701-5200
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
05-35684
KS
208000000X
Pediatrics Physician
2017033689
MO
2080S0010X
Pediatric Sports Medicine Physician
05-35684
KS
2080S0010X
Pediatric Sports Medicine Physician
Primary
2017033689
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200877130A
—
KS
Enumeration date
06/18/2008
Last updated
10/30/2017
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