Organization
NATHANIEL HARRIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHANIEL R. HARRIS MD (PHYSICIAN/OWNER)
(606) 465-9597
Entity
Organization
Contact information
Practice address
291 N HUBBARDS LN STE, LOUISVILLE, KY 40207-8220
(502) 509-3430
Mailing address
291 N HUBBARDS LN STE 172, LOUISVILLE, KY 40207-8220
(606) 465-9597
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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