Provider Demographics
NPI:1346492725
Name:HARPER, KATHI A (PA)
Entity Type:Individual
Prefix:
First Name:KATHI
Middle Name:A
Last Name:HARPER
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2705 OLD FORT PKWY
Mailing Address - Street 2:SUITE G
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37128-5153
Mailing Address - Country:US
Mailing Address - Phone:615-896-1022
Mailing Address - Fax:615-896-1092
Practice Address - Street 1:6021 NOLENSVILLE PIKE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-6810
Practice Address - Country:US
Practice Address - Phone:615-690-9355
Practice Address - Fax:615-690-9357
Is Sole Proprietor?:No
Enumeration Date:2008-10-16
Last Update Date:2008-10-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNPA0000000075363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical