| Doctor Name: | KIM ANN HARLEY |
| NPI Number: | 1003155029 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | 71004326A |
| Business Practice Address: | 1325 Triplett St # A Owensboro, KY - 423033163 |
| Business Phone Number: | 2706868500 |
| Business Fax Number: | 2706865467 |
| Mailing Address: | Po Box 23229, OWENSBORO |
| State: | KY |
| Postal Code: | 423043229 |
| Phone Number: | 2706881330 |
| Fax Number: | 2706881338 |
| NPI Enumeration Date: | 02/12/2013 |
| NPI Last Update Date: | 04/22/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 71004326A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |