Individual
MR. KENNETH WAYNE HARBOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.R.A, R.T.(R)
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-0111
Mailing address
649 TURKEY CRK, ALACHUA, FL 32615-9309
Taxonomy
Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
CRT54343
FL
243U00000X
Radiology Practitioner Assistant
Primary
RA28
FL
Other
Enumeration date
04/19/2012
Last updated
04/19/2012
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