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Individual
KENNETH A HARRIS
Active
Individual
KENNETH A HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, CCRN
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
782137
CA
163WG0000X
General Practice Registered Nurse
1-105100
AL
Other
Enumeration date
09/21/2020
Last updated
11/27/2023
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