NPI 1083163638

Lance Kennedy Harris, PAC

Practitioner Physician Assistant Conway, AR

Practice location

Address: 1555 Exchange Ave, Conway, AR 72032-7824
Phone: (501) 585-2400
Mailing address: PO Box 83, Mabelvale, AR 72103-0083

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA-679 (AR)

Other Physician Assistant providers in Arkansas →

Registry record

NPI: 1083163638
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Sep 2016
Record last updated: 24 Jul 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.