Individual provider · Type 1 NPI

Mallory E. Harris, PA

Medical Physician Assistant · Independence, KS

NPI number 1033519830 Active

Practice location

3751 W Main St
Independence, KS 67301-8446

Call (620) 331-1748 Map

Mailing address

PO Box 688
Independence, KS 67301-0688

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X15-01717 (KS)

Medical Physician Assistant: Definition to come...

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About NPI 1033519830

Mallory E. Harris, PA's National Provider Identifier is 1033519830, issued on Aug 28, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Independence, KS. The record was last updated on Feb 16, 2015.