Individual
MRS. KYLE JONES HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
51 N 39TH ST, PPMC 223 WRIGHT/SAUNDERS, PHILADELPHIA, PA 19104-2640
(215) 662-8244
Mailing address
51 N 39TH ST, PPMC 223 WRIGHT/SAUNDERS, PHILADELPHIA, PA 19104-2640
(215) 662-8244
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN350069L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00502100
CONTROLLED AND DANGEROUS SUBSTANCES
NJ
Enumeration date
11/15/2012
Last updated
11/26/2024
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