Robert Boatwright Harris
Surgeon Surgery of the Hand
124 Commodore St Ste B
Pratt
, Kansas 67124-2995
Robert Boatwright Harris
Surgeon Surgery of the Hand
124 Commodore St Ste B
Pratt
, Kansas 67124-2995
(620) 450-1186
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About
Features
Specialties
- Surgeon
- Surgery of the Hand
Languages spoken
- English
Location
First Address
- Robert Boatwright Harris
- 200 Commodore St
- Pratt, KS
- Zip : 67124-2903
- Phone : (620) 450-1186
Second Address
- Robert Boatwright Harris
- 124 Commodore St Ste B
- Pratt, KS
- Zip : 67124-2995
- Fax : (620) 672-3488
- Phone : (620) 672-6454
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | 00019179 | AL |
| N | 208600000X | Surgeon | 00019179 | AL |
| Y | 208200000X | Surgeon | 04-43413 | KS |
| Y | 208600000X | Surgeon | 04-43413 | KS |
| N | 208200000X | Surgeon | 12574 | MS |
| N | 208600000X | Surgeon | 12574 | MS |
| N | 2086S0105X | Surgery of the Hand | 12574 | MS |
National Provider Identifier
| NPI | 1215011846 |
|---|---|
| Provider Name | Robert Boatwright Harris |
| First Address | Pratt, KS 67124-2903 |
| Second Address | Pratt, KS 67124-2995 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/10/2006 |
| Last Update Date | 26/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000033694 | (05) | AL |
| 00110609 | (05) | MS |
| 051033694 | BC/BS OF AL (01) | AL |
| E46441 | (02) | AL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.