1962665141 NPI number — DR. PAULA J HARKINS PHD

Table of content: DR. PAULA J HARKINS PHD (NPI 1962665141)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1962665141 NPI number — DR. PAULA J HARKINS PHD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HARKINS
Provider First Name:
PAULA
Provider Middle Name:
J
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PHD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1962665141
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/30/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 7422
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OVERLAND PARK
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
66207-0422
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
913-495-2106
Provider Business Mailing Address Fax Number:
913-273-2449

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8550 MARSHALL DR FL 2
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LENEXA
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66214-1505
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
913-271-3344
Provider Business Practice Location Address Fax Number:
913-273-2449
Provider Enumeration Date:
07/08/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103T00000X , with the licence number:  1187 , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 103TC0700X , with the licence number: LP1895 , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 200563790A , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".