Individual
KENNETH HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.P.,D.O.M.
Contact information
Practice address
503 S MACDILL AVE, TAMPA, FL 33609-3091
(813) 413-7181
Mailing address
503 S MACDILL AVE, TAMPA, FL 33609-3091
(813) 413-7181
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP3406
FL
Other
Enumeration date
02/20/2014
Last updated
02/20/2014
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