Provider Demographics
NPI:1629210414
Name:HARPER-KIRKSEY, KATRINA LATISHA (MD)
Entity Type:Individual
Prefix:MRS
First Name:KATRINA
Middle Name:LATISHA
Last Name:HARPER-KIRKSEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:KATRINA
Other - Middle Name:LATISHA
Other - Last Name:HARPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:127 S SAN VICENTE BLVD STE A3100
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-3311
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8700 BEVERLY BLVD
Practice Address - Street 2:
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90048-1804
Practice Address - Country:US
Practice Address - Phone:310-248-7369
Practice Address - Fax:310-423-3522
Is Sole Proprietor?:No
Enumeration Date:2009-03-25
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA129964207LC0200X
NY262894207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LC0200XAllopathic & Osteopathic PhysiciansAnesthesiologyCritical Care Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine