Individual
KRISTEN ASHLEE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 WHEELING AVE, GLEN DALE, WV 26038-1660
(304) 845-3211
Mailing address
303 NW 11TH ST, FAIRFIELD, IL 62837-1203
(618) 847-8243
(618) 847-8387
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
717
WV
Other
Enumeration date
09/16/2016
Last updated
02/08/2019
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