Healthcare Provider Details

I. General information

NPI: 1982037636
Provider Name (Legal Business Name): KARAN D HARKNESS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/16/2013
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

605 S COOLIDGE ST
MOSES LAKE WA
98837-1873
US

IV. Provider business mailing address

1450 1ST AVE SW
QUINCY WA
98848-1695
US

V. Phone/Fax

Practice location:
  • Phone: 509-765-0674
  • Fax: 509-765-0674
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number61452676
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: