Individual
MR. MARK E HARMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
202 S 9TH ST, HUMBOLDT, KS 66748-1908
(620) 473-2275
(620) 473-2821
Mailing address
202 S 9TH ST, HUMBOLDT, KS 66748-1908
(620) 473-2275
(620) 473-2821
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
15-00078
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
384520
FIRSTGUARD
KS
01
—
P00182773
RAILROAD MEDICARE
KS
Enumeration date
01/06/2006
Last updated
04/10/2008
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