Provider Demographics
NPI:1871301523
Name:KELLEY, HARLEE ELIZABETH (PA)
Entity type:Individual
Prefix:
First Name:HARLEE
Middle Name:ELIZABETH
Last Name:KELLEY
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:681 W ARBOR GLENN DR
Mailing Address - Street 2:
Mailing Address - City:NIXA
Mailing Address - State:MO
Mailing Address - Zip Code:65714-4250
Mailing Address - Country:US
Mailing Address - Phone:816-721-6285
Mailing Address - Fax:
Practice Address - Street 1:3850 S NATIONAL AVE STE 300
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65807-5287
Practice Address - Country:US
Practice Address - Phone:417-269-5239
Practice Address - Fax:417-269-5139
Is Sole Proprietor?:No
Enumeration Date:2024-12-27
Last Update Date:2024-12-27
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant