Individual
DR. MICHAEL R HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3430 NEWBURG RD, SUITE 210, LOUISVILLE, KY 40218-2497
(502) 454-8800
(502) 736-0124
Mailing address
3430 NEWBURG RD, STE 210, LOUISVILLE, KY 40218-2458
(502) 454-8800
(502) 736-0124
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
33006
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64050040
—
KY
01
—
P00187918
RR MEDICARE
KY
Enumeration date
05/12/2006
Last updated
11/29/2018
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