Individual
DR. KEVIN CHARLES HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9460 AMBERDALE DRIVE, SUITE C, RICHMOND, VA 23236
(804) 276-2470
(804) 276-2473
Mailing address
9460 AMBERDALE DRIVE, SUITE C, RICHMOND, VA 23236
(804) 276-2470
(804) 276-2473
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0102201098
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
142999
ANTHEM PROVEDIER #
VA
Enumeration date
08/09/2005
Last updated
09/30/2009
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