Individual
KELLY HARPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
707 CEDAR ST STE 100, SOUTH BEND, IN 46617-2056
(574) 800-1175
Mailing address
707 CEDAR ST STE 100, SOUTH BEND, IN 46617-2056
(574) 800-1175
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/10/2023
Last updated
02/10/2023
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