Harless, Kami Jo Larson

Harless, Kami Jo Larson is an sole proprietor health care provider with primary practice located at 520 N 4Th St , Springfield IL 62702-5238. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Harless, Kami Jo Larson can be contacted via phone (217) 545-8000.

Contact Information

Primary practice address
520 N 4Th St Springfield IL 62702-5238
Phone: (217) 545-8000
Fax: (217) 757-8161
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD60587321 Washington
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 036.142057 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036.142057 Illinois

Profile Details

NPI number 1841533171
LBN Legal business name Harless, Kami Jo Larson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2013
Last updated Jan 8th, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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