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NPI Code Detail

MEDICARE: DR. PAMELA SUE HARRIS MD

MEDICARE: DR. PAMELA SUE HARRIS 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
12081H0002XHospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician04-22812KS
22081H0002XHospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician100307MO

General Provider Information

NPI Number : 1952321580
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAMELA SUE HARRIS MD
Provider Business Mailing Address
First Line : 9001 STATE LINE RD # 300
Second Line :
City : KANSAS CITY
State : MO
Zip : 64114-3232
Country : US
Telephone Number : 816-363-2600
Fax Number : 816-523-0068
Provider Business Practice Location Address
First Line : 9001 STATE LINE RD # 300
Second Line :
City : KANSAS CITY
State : MO
Zip : 64114-3232
Country : US
Telephone Number : 816-363-2600
Fax Number : 816-523-0068
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2006
Last Update Date : 08/19/2022

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Directions to “ DR. PAMELA SUE HARRIS MD” Practice Location

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