Individual
MS. KATHY M HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
510 N ELAM AVE, SUITE 101, GREENSBORO, NC 27403-1150
(336) 854-8800
Mailing address
510 N ELAM AVE, SUITE 101, GREENSBORO, NC 27403-1150
(336) 854-8800
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
800030
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89014FU
—
NC
Enumeration date
05/16/2010
Last updated
11/04/2013
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