Individual
DR. KEVIN MCQUITTY HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD, MHA
Contact information
Practice address
614 E 9TH ST, TRENTON, MO 64683-2211
(660) 359-3957
(660) 359-4000
Mailing address
1115 WASHINGTON ST, CHILLICOTHE, MO 64601-1306
(660) 646-3937
(660) 646-4092
Taxonomy
Speciality
Code
Description
License number
State
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
2010020640
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548564834
BCBS OF MO
MO
05
—
1548564834
—
MO
01
—
45531018
BCBS OF KC
MO
01
—
45531028
BCBS OF KC
MO
01
—
45531038
BCBS OF KC
MO
01
—
45531048
BCBS OF KC
MO
Enumeration date
12/31/2010
Last updated
01/14/2022
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