Individual
DR. WILLIAM KEVIN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
901 PATIENTS FIRST DR, WASHINGTON, MO 63090-4700
(636) 239-9011
(636) 239-0433
Mailing address
PO BOX 502852, SAINT LOUIS, MO 63150-2852
(636) 239-9011
(636) 239-0433
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
R1I00
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518963529
—
MO
01
—
27-2481555
HEALTHLINK
—
01
—
272481555
MOLINA
—
01
—
MA2536005
MEDICARE
MO
Enumeration date
06/23/2005
Last updated
05/20/2013
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