Individual
DR. KENDALL HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
100 BLISS AVE, TAHLEQUAH, OK 74464
(918) 458-3100
Mailing address
100 BLISS AVE, TAHLEQUAH, OK 74464
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7273
OK
Other
Enumeration date
04/07/2020
Last updated
06/25/2024
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