Individual
KASEY HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12850 N 144TH DR, SURPRISE, AZ 85379-4480
(623) 810-1158
Mailing address
12850 N 144TH DR, SURPRISE, AZ 85379-4480
(623) 810-1158
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/02/2026
Last updated
03/02/2026
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