Individual
KALYN M HARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3400 UNION AVE, SHEBOYGAN, WI 53081-8426
(920) 802-2100
(920) 802-1500
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085006360
IL
363A00000X
Physician Assistant
10002976A
IN
363A00000X
Physician Assistant
Primary
7339
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085006360
LICENSE
IL
05
—
100253050
—
WI
Enumeration date
11/09/2017
Last updated
11/15/2023
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