Provider Demographics
NPI:1669081345
Name:HARBIT, KRISTI B (APRN)
Entity type:Individual
Prefix:
First Name:KRISTI
Middle Name:B
Last Name:HARBIT
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 N HOSPITAL DR
Mailing Address - Street 2:
Mailing Address - City:GIRARD
Mailing Address - State:KS
Mailing Address - Zip Code:66743-2000
Mailing Address - Country:US
Mailing Address - Phone:620-224-2627
Mailing Address - Fax:620-224-2453
Practice Address - Street 1:109 S MAIN ST
Practice Address - Street 2:
Practice Address - City:FORT SCOTT
Practice Address - State:KS
Practice Address - Zip Code:66701-1414
Practice Address - Country:US
Practice Address - Phone:202-224-2627
Practice Address - Fax:620-224-2453
Is Sole Proprietor?:No
Enumeration Date:2020-07-28
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS13-111700-111163WE0003X
KS80234363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WE0003XNursing Service ProvidersRegistered NurseEmergency
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS201338320AMedicaid