Individual
KEVIN MASON HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
30 MEDICAL CENTER BOULEVARD, PROFESSIONAL OFFICE BLDG 1, SUITE 305, UPLAND, PA 19013
(610) 874-6448
Mailing address
133 MALLARD WAY, MIDDLETOWN, DE 19709-6100
(443) 493-3449
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
125426
PA
367500000X
Certified Registered Nurse Anesthetist
L6-0A00804
DE
Other
Enumeration date
12/19/2018
Last updated
10/23/2023
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