Provider Demographics
NPI:1932987336
Name:HARVEY, SARA ANN (STUDENT)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:ANN
Last Name:HARVEY
Suffix:
Gender:F
Credentials:STUDENT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4305 NW 62ND ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64151-4753
Mailing Address - Country:US
Mailing Address - Phone:816-674-1136
Mailing Address - Fax:
Practice Address - Street 1:4305 NW 62ND ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64151-4753
Practice Address - Country:US
Practice Address - Phone:816-674-1136
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-18
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program