Individual
KENNISHA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
320 BROOKES DR, HAZELWOOD, MO 63042-2736
(314) 399-9170
Mailing address
258 S FLORISSANT RD, FERGUSON, MO 63135-2736
(314) 399-9170
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2026000613
MO
Other
Enumeration date
01/13/2026
Last updated
01/15/2026
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