Individual
KIMBERLY HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP
Contact information
Practice address
19600 E 39TH ST S, INDEPENDENCE, MO 64057-2301
(816) 698-7000
Mailing address
3112 S VIKING CT, INDEPENDENCE, MO 64057-1878
(816) 806-2787
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2018020390
MO
Other
Enumeration date
06/20/2018
Last updated
06/20/2018
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