Individual
KURT DUDLEY HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1922 GLEN SPRINGS DR., FREMONT, OH 43420
(419) 333-9026
(419) 333-9043
Mailing address
1922 GLEN SPRINGS DR., FREMONT, OH 43420
(419) 333-9026
(419) 333-9043
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
34007809
OH
207V00000X
Obstetrics & Gynecology Physician
34007809H
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2307739
—
OH
Enumeration date
08/24/2005
Last updated
03/29/2017
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