Individual
KELSI HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 WYOMING ST, DAYTON, OH 45409-2722
(937) 208-6173
Mailing address
1 WYOMING ST, DAYTON, OH 45409-2722
(937) 208-6173
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
324620
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
15493
OH
Other
Enumeration date
09/01/2009
Last updated
12/27/2013
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