MEDICARE: KAYLA LYNN HARSHMAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	2026016996	MO

General Provider Information

NPI Number	:	1386348894
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAYLA LYNN HARSHMAN MD

Provider Business Mailing Address
First Line	:	PO BOX 957683
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63195-7683
Country	:	US
Telephone Number	:	573-701-7227
Fax Number	:	573-756-6807

Provider Business Practice Location Address
First Line	:	1101 W LIBERTY ST
Second Line	:
City	:	FARMINGTON
State	:	MO
Zip	:	63640-1921
Country	:	US
Telephone Number	:	573-701-7227
Fax Number	:	573-756-6807

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/28/2023
Last Update Date	:	05/21/2026

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