Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mallory E. Harris, PA

Individual provider Medical Physician Assistant · NPI 1033519830

Mallory E. Harris, PA is a Physician Assistant in Independence, Kansas. Qualified in 2014, 12 years ago. Practices with Four County Mental Health Center Inc, a 22-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
12
Licensed in
KS
In the registry since
2014
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3751 W Main St
Independence, KS 67301-8446
Phone: (620) 331-1748
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 15-01717 (KS)

Record details

NPI number1033519830
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 28, 2014
Last updated in NPPESFebruary 16, 2015
Mailing addressPo Box 688, Independence, KS 67301-0688

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Four County Mental Health Center Inc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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