NPI Code Detail JSON Logo

1174310429 NPI number — KENNETH HARBOUR DO

NPI Number: 1174310429
Health Care Provider/Practitioner: KENNETH HARBOUR DO

Information about “1174310429” NPI (KENNETH HARBOUR DO) exists in 1174310429 in HTML format HTML  |  1174310429 in plain Text format TXT  |  1174310429 in PDF (Portable Document Format) PDF  |  1174310429 in an XML format XML  formats.

NPI Number : 1174310429 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1174310429",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HARBOUR",
    "FirstName": "KENNETH",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DO",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3601 4TH ST STOP 6211",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LUBBOCK",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "79430-6211",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "806-743-2978",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3601 4TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LUBBOCK",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "79430-0002",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "806-743-2391",
    "PracticeLocationAddressFaxNumber": "806-743-5687",
    "EnumerationDate": "04/21/2025",
    "LastUpdateDate": "04/21/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "390200000X",
        "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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