Provider Demographics
NPI:1306636394
Name:HARRIS, MATLYN (DC)
Entity type:Individual
Prefix:DR
First Name:MATLYN
Middle Name:
Last Name:HARRIS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:178 CHISHOLM RD
Mailing Address - Street 2:
Mailing Address - City:INMAN
Mailing Address - State:KS
Mailing Address - Zip Code:67546-8506
Mailing Address - Country:US
Mailing Address - Phone:620-615-3531
Mailing Address - Fax:
Practice Address - Street 1:178 CHISHOLM RD
Practice Address - Street 2:
Practice Address - City:INMAN
Practice Address - State:KS
Practice Address - Zip Code:67546-8506
Practice Address - Country:US
Practice Address - Phone:620-615-3531
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-06370111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor