Individual
KEITH DANIEL HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
BUILDING 683 WAIANAE AVE, SCHOFIELD BARRACKS, HI 96876
(888) 683-2778
Mailing address
4625 SCOTT LOOP, HONOLULU, HI 96818-3217
(304) 707-1358
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
09/06/2011
Last updated
10/30/2024
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