Individual
ROBERT HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-S
Contact information
Practice address
624 MAYSVILLE RD, MT STERLING, KY 40353-9767
(859) 497-4144
(859) 498-4137
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7825
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
TC133
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/14/2021
Last updated
03/08/2022
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