Individual
JUDITH KAY HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7348 W 21ST ST N, SUITE 107, WICHITA, KS 67205-1765
(316) 721-4828
(316) 721-4844
Mailing address
7348 W 21ST ST N, SUITE 107, WICHITA, KS 67205-1765
(316) 721-4828
(316) 721-4844
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
44009
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100363930C
—
KS
01
—
13309
PREFERRED HEALTH SYSTEMS
KS
01
—
161002
BC/BS
KS
01
—
500021112
RAILROAD MEDICARE
KS
Enumeration date
08/11/2006
Last updated
07/08/2007
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