Individual
DR. KEVIN THOMAS HARLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 THE CITY DR S, CITY TOWER, SUITE 400, ORANGE, CA 92868-3201
(714) 456-5142
Mailing address
13135 LEE JACKSON MEMORIAL HWY, STE 135, FAIRFAX, VA 22033-1907
(703) 961-0488
(703) 961-0480
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
01010263559
VA
207RN0300X
Nephrology Physician
A98051
CA
Other
Enumeration date
07/11/2007
Last updated
06/27/2018
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