Provider Demographics
NPI:1437336567
Name:HARRIS, JOHN PAUL (DC)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:PAUL
Last Name:HARRIS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2501 N CAMPUS DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:GARDEN CITY
Mailing Address - State:KS
Mailing Address - Zip Code:67846-3791
Mailing Address - Country:US
Mailing Address - Phone:620-275-6080
Mailing Address - Fax:620-275-1143
Practice Address - Street 1:2501 N CAMPUS DR
Practice Address - Street 2:SUITE 300
Practice Address - City:GARDEN CITY
Practice Address - State:KS
Practice Address - Zip Code:67846-3791
Practice Address - Country:US
Practice Address - Phone:620-275-6080
Practice Address - Fax:620-275-1143
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-31
Last Update Date:2013-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-05507111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor