Provider Demographics
NPI:1417162132
Name:HARP, MOLLY ELIZABETH (DO)
Entity Type:Individual
Prefix:DR
First Name:MOLLY
Middle Name:ELIZABETH
Last Name:HARP
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:212 N DAVIS ST
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:MO
Mailing Address - Zip Code:64644-1143
Mailing Address - Country:US
Mailing Address - Phone:816-583-7839
Mailing Address - Fax:816-583-7842
Practice Address - Street 1:212 N DAVIS ST
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:MO
Practice Address - Zip Code:64644-1143
Practice Address - Country:US
Practice Address - Phone:816-583-7839
Practice Address - Fax:816-583-7842
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2009001441207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine