Individual
RUSSEL M HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2316 E MEYER BLVD, KANSAS CITY, MO 64132-1136
(913) 428-2900
(913) 428-2951
Mailing address
8717 W 110TH ST, OVERLAND PARK, KS 66210-2144
(913) 428-2951
(913) 428-2951
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2009030213
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
2016019123
MO
367500000X
Certified Registered Nurse Anesthetist
43-557426-091
KS
Other
Enumeration date
04/13/2016
Last updated
09/18/2025
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