Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PENELOPE JANE HARRIS, MD
Active Sole ProprietorDR. PENELOPE JANE HARRIS, MD is a Hematology healthcare provider located in BOLIVAR, Missouri. NPI 1154389260 is currently active in the NPPES registry. Verify at CMS.
Hematology · BOLIVAR, MO
Registration Details
- NPI Number
- 1154389260
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 1, 2006 (20.314801437258 yrs)
- Last Updated
- Oct 10, 2024
- Licenses
-
0439005 (KS)2016013783 (MO)2016013783 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1501 N OAKLAND AVEBOLIVAR, MO, 656133020Browse MO providers · Browse ZIP 65613
- Phone
- 1732672004
- Fax
- 4173267201
- Primary Specialty
-
Hematology
207RH0003X
- Additional Specialty
- Medical Oncology
- Additional Specialty
- Hematology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.