Healthcare Provider Details

I. General information

NPI: 1093620320
Provider Name (Legal Business Name): ALEXA JO HARLOW PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALEXA JO RITTER

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

828 ELMHURST BLVD
SALINA KS
67401-7406
US

IV. Provider business mailing address

9300 E 29TH ST N STE 310
WICHITA KS
67226-2160
US

V. Phone/Fax

Practice location:
  • Phone: 785-827-2500
  • Fax: 785-827-2515
Mailing address:
  • Phone: 316-612-1833
  • Fax: 316-612-2420

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number15-03325
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: