Harris, Judith Kay

Harris, Judith Kay is an individual health care provider with primary practice located at 7348 W 21St St N Suite 107, Wichita KS 67205-1765. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Harris, Judith Kay can be contacted via phone (316) 721-4828.

Contact Information

Primary practice address
7348 W 21St St N Suite 107 Wichita KS 67205-1765
Phone: (316) 721-4828
Fax: (316) 721-4844
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 44009 Kansas

Profile Details

NPI number 1871504076
LBN Legal business name Harris, Judith Kay
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871504076 NPPES
Kansas MEDICAID 100363930C
Kansas Other 161002
Kansas Other 500021112
Kansas Other 13309

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