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NPI Code Detail

MEDICARE: KEVIN HARRIS

MEDICARE: KEVIN 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
1171100000XAcupuncturist0002167CO

General Provider Information

NPI Number : 1376045427
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN HARRIS
Provider Business Mailing Address
First Line : 1491 DENVER AVE UNIT 101
Second Line :
City : LOVELAND
State : CO
Zip : 80538-5228
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1491 DENVER AVE UNIT 101
Second Line :
City : LOVELAND
State : CO
Zip : 80538-5228
Country : US
Telephone Number : 970-663-2225
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2018
Last Update Date : 03/05/2018

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Directions to “ KEVIN HARRIS ” Practice Location

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