Individual
MR. ANIL HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1054 CENTER DR, STE 2, RICHMOND, KY 40475-3851
(859) 625-5242
(859) 625-5279
Mailing address
1054 CENTER DR, STE 2, RICHMOND, KY 40475-3851
(859) 625-5242
(859) 625-5279
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
32105
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000069482
ANTHEM BCBS
KY
01
—
110192185
RAIL ROAD MEDICARE
KY
01
—
1487656567
NPI
KY
05
—
64321052
—
KY
Enumeration date
06/02/2005
Last updated
01/20/2010
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