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Individual

KENDALL BALDWIN HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PAAA

Contact information

Practice address
3231 MCMULLEN BOOTH RD, SAFETY HARBOR, FL 34695-6607
(727) 725-6111
Mailing address
2995 DREW ST, CLEARWATER, FL 33759-3012

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
002461
GA
367H00000X
Anesthesiologist Assistant
Primary
AA656
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100001848B
GA
Enumeration date
07/24/2006
Last updated
03/30/2025
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