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NPI Code Detail

MEDICARE: DR. KENNETH L. HARRIS M.D.

MEDICARE: DR. KENNETH L. HARRIS M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician15999AL

General Provider Information

NPI Number : 1881634475
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KENNETH L. HARRIS M.D.
Provider Business Mailing Address
First Line : 2375 CHAMPIONS BLVD
Second Line :
City : AUBURN
State : AL
Zip : 36830-6471
Country : US
Telephone Number : 334-745-6447
Fax Number : 334-742-0713
Provider Business Practice Location Address
First Line : 2375 CHAMPIONS BLVD
Second Line :
City : AUBURN
State : AL
Zip : 36830-6471
Country : US
Telephone Number : 334-745-6447
Fax Number : 334-742-0713
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2006
Last Update Date : 12/05/2023

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