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1134201502
KELLY HARPER
WICHITA, KS
NPI
1134201502
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: KS 15-00486)
Enumeration Date
2006-10-19
Last Update Date
2007-07-08
Business Address
-- KELLY HARPER PA
550 N HILLSIDE ST
WICHITA, KS 67214-4910
Phone number: 316-962-2239
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Mailing Address
-- KELLY HARPER PA
PO BOX 548
WICHITA, KS 67201-0548
Phone number: 316-962-2239
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