Organization
KEVIN C HARRISON, DO PC
Active
Organization
KEVIN C HARRISON, DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN CHARLES HARRISON D.O. (PHYSICIAN/PRESIDENT)
(804) 276-2470
Entity
Organization
Contact information
Practice address
9460 AMBERDALE DRIVE, SUITE C, RICHMOND, VA 23236
(804) 276-2470
(804) 276-2473
Mailing address
9460 AMBERDALE DRIVE, SUITE C, RICHMOND, VA 23236
(804) 276-2470
(804) 276-2473
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0102-032395
VA
207R00000X
Internal Medicine Physician
0102-201098
VA
207R00000X
Internal Medicine Physician
Primary
0102201098
VA
Other
Enumeration date
11/21/2007
Last updated
10/26/2009
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