Healthcare Provider Details

I. General information

NPI: 1770419707
Provider Name (Legal Business Name): EMILY HARMON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIVERSITY OF KANSAS HEALTH SYSTEMS
KANSAS CITY KS
66160-0001
US

IV. Provider business mailing address

31299 ROCKVILLE RD
LOUISBURG KS
66053-7170
US

V. Phone/Fax

Practice location:
  • Phone: 913-588-5000
  • Fax:
Mailing address:
  • Phone: 913-484-8282
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number2026027372
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number24-00865
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: