Provider Demographics
NPI:1609325489
Name:HARKESS PODIATRY LLC
Entity Type:Organization
Organization Name:HARKESS PODIATRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HARKESS
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:405-285-5523
Mailing Address - Street 1:15318 N MAY AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-8864
Mailing Address - Country:US
Mailing Address - Phone:405-285-5523
Mailing Address - Fax:405-285-5573
Practice Address - Street 1:15318 N MAY AVE
Practice Address - Street 2:SUITE A
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-8864
Practice Address - Country:US
Practice Address - Phone:405-285-5523
Practice Address - Fax:405-285-5573
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-22
Last Update Date:2016-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP1100XAmbulatory Health Care FacilitiesClinic/CenterPodiatric