Individual
DR. TIMOTHY JOHN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, CRNA, APRN
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 301-2000
(859) 341-7867
Mailing address
2430 PRESERVATION WAY, FLORENCE, KY 41042-7849
(502) 409-0881
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3013836
KY
Other
Enumeration date
09/12/2019
Last updated
09/12/2019
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