Individual
DR. KIM HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
6225 W 56TH ST, SUITE 100, INDIANAPOLIS, IN 46254-7603
(317) 293-3300
(317) 293-3437
Mailing address
7755 WALKER CUP DR, BROWNSBURG, IN 46112-9183
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009550
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200141150B
—
IN
01
—
978759
UNITED CONCORDIA NUMBER
IN
Enumeration date
11/03/2006
Last updated
03/17/2015
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