MEDICARE: KENYA HARRISON

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
1	225400000X	Rehabilitation Practitioner

General Provider Information

NPI Number	:	1205358306
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENYA HARRISON

Provider Business Mailing Address
First Line	:	2255 E SUNSET RD APT 2082
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-4955
Country	:	US
Telephone Number	:	702-890-8804
Fax Number	:

Provider Business Practice Location Address
First Line	:	2255 E SUNSET RD APT 2082
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-4955
Country	:	US
Telephone Number	:	702-890-8804
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2017
Last Update Date	:	07/21/2022

Similar Medicare Providers

1801105002 — MR. LABRENTE' LEON WILLIAMS
Practice Location Address:

4955 JEFFREYS ST
LAS VEGAS, NV
89119-7738

Practice Phone: 407-235-0164
Practice Fax:

1194366427 — DANITRA MICHELL PARKER
Practice Location Address:

4955 JEFFREYS ST UNIT 103
LAS VEGAS, NV
89119-2284

Practice Phone: 818-245-2964
Practice Fax:

1477416857 — CAMERINA FAVELA
Practice Location Address:

4955 S DURANGO DR STE 120
LAS VEGAS, NV
89113-1054

Practice Phone: 702-871-2273
Practice Fax:

1740203256 — DR. STEVEN EDWARD WEINBERG D.D.S.
Practice Location Address:

4955 S DURANGO DR , SUITE 201
LAS VEGAS, NV
89113-0152

Practice Phone: 702-933-7275
Practice Fax: 702-933-0596

1437268497 — MS. LURA DEVITO PHYSICAL THERAPIST
Practice Location Address:

4955 S DURANGO DR , STE 100
LAS VEGAS, NV
89113-0152

Practice Phone: 702-254-2300
Practice Fax:

1578673224 — DOMINIC BRUZZESE
Practice Location Address:

4955 S DURANGO DR , STE 100
LAS VEGAS, NV
89113-0152

Practice Phone: 702-254-2300
Practice Fax:

Directions to “ KENYA HARRISON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.