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NPI Code Detail

MEDICARE: KALEB HARRIS

MEDICARE:   KALEB  HARRIS
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
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1225985039
Entity Type Code : Individual
Provider Name (Legal Business Name) : KALEB HARRIS
Provider Business Mailing Address
First Line : 1044 BARNABY TER SE
Second Line :
City : WASHINGTON
State : DC
Zip : 20032-4366
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 949 1ST ST SE APT 228
Second Line :
City : WASHINGTON
State : DC
Zip : 20003-4773
Country : US
Telephone Number : 301-979-1606
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2026
Last Update Date : 03/11/2026

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Directions to “ KALEB HARRIS ” Practice Location

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