Toni Gale Harris
Individual provider Active NPI Contractor · Kirksville, MO
NPI 1174754162 · NPPES record last updated Aug 7, 2009
Key facts
- NPI
- 1174754162
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- License
- 171W00000X (MO)
- Practice address
- 210 N High St
Kirksville, MO 63501-3033 - Phone
- (660) 627-9701
- NPI assigned
- Aug 7, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 171W00000X | MO | MD | Contractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 171W00000X | MO | Yes |
Addresses
Primary practice location
210 N High St
Kirksville, MO 63501-3033
Mailing address
210 N High St
Kirksville, MO 63501-3033
Phone (660) 627-9701
Other providers in Kirksville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.