Individual
MS. KATHLEEN B HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
500 HIGHWAY 89 NORTH, N AZ VA HEALTH CARE SYSTEM, PRESCOTT, AZ 86313
(928) 445-4860
Mailing address
108 EAST PALOMA DRIVE, RT 2 BOX 1G, NAHUNTA, GA 31553-9601
(912) 462-6289
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN031551
GA
Other
Enumeration date
05/08/2008
Last updated
05/08/2008
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