Healthcare Provider Details

I. General information

NPI: 1699478792
Provider Name (Legal Business Name): JAMES KALE HARMON
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2023
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 MOSAIC CT STE 200
SAINT JOSEPH MO
64506-1284
US

IV. Provider business mailing address

101 MOSAIC CT STE 200
SAINT JOSEPH MO
64506-1284
US

V. Phone/Fax

Practice location:
  • Phone: 816-271-4022
  • Fax: 816-271-4020
Mailing address:
  • Phone: 816-271-4022
  • Fax: 816-271-4020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2023023834
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: