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Individual

KENNETH WAYNE HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
300 S NEVADA AVE, MONTROSE, CO 81401-4273
(970) 249-7751
(970) 249-5029
Mailing address
240 PELLO LN, NEVADA CITY, CA 95959-8337
(901) 229-1609

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A-45727
CA
207R00000X
Internal Medicine Physician
CDRH.0059064
CO
207R00000X
Internal Medicine Physician
E-11971
AR
207R00000X
Internal Medicine Physician
MD13956
AL
207R00000X
Internal Medicine Physician
MD60906292
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3096568
TN
Enumeration date
02/14/2006
Last updated
09/24/2025
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