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Kim Staci Harris, MD
Obstetrics & Gynecology Physician in Indianapolis, Indiana
NPI 1609195783

Kim Staci Harris is a Obstetrics & Gynecology Physician based in Indianapolis, IN. Kim Staci Harris practices in Indianapolis, IN and has the professional credentials of MD. The NPI Number for Kim Staci Harris is 1609195783 and holds a License No. (Indiana).

The current practice location address for Kim Staci Harris is 7120 Clearvista Dr Ste 2000, Indianapolis, IN and can be reached out via phone at 317-621-7120 and via fax at 317-621-7119. You can also correspond with Kim Staci Harris through the mailing address at 6626 E 75TH ST, INDIANAPOLIS, IN - 46250-2805 (mailing address contact number: ).

Location: 7120 Clearvista Dr Ste 2000, Indianapolis, IN, 46250-2805
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Provider Profile Details
NPI Number
1609195783
Provider Name
Kim Staci Harris
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
7120 Clearvista Dr Ste 2000, Indianapolis, IN, 46250-2805
Phone Number
317-621-7120
Fax Number
317-621-7119
Provider Enumeration Date
05/27/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201095980 05 IN
P01424352 01 IN RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
7120 Clearvista Dr Ste 2000
City
State
Zip
46256-1621
Phone Number
317-621-7120
Fax Number
317-621-7119
person
Provider Business Mailing Address Details
Address
7120 Clearvista Dr Ste 2000
City
State
Zip
46256-1621
Phone Number
317-621-7120
Fax Number
317-621-7119
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
License No.
01074392A (Indiana)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
(Indiana)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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