Individual
DR. DAVID KENT HARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101044157
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007251441
—
VA
05
—
0118252000
—
WV
05
—
158601700
—
MD
01
—
300060012
RAILROAD MEDICARE
—
Enumeration date
09/27/2005
Last updated
03/05/2021
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