Individual
KIMBERLY DAWN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3990 JOHN R ST, DETROIT, MI 48201-2018
(313) 745-8521
Mailing address
PO BOX 67000, DEPT 203401, DETROIT, MI 48267-0002
(888) 278-4126
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704169677
MI
Other
Enumeration date
05/27/2009
Last updated
06/28/2010
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