Individual
DR. KENNETH HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 N WASHINGTON ST, KAISER PERMANENTE FALLS CHURCH MEDICAL CENTER, FALLS CHURCH, VA 22046-4518
(703) 237-4000
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101057626
VA
2085R0202X
Diagnostic Radiology Physician
D55017
MD
2085R0202X
Diagnostic Radiology Physician
MD19964
DC
Other
Enumeration date
02/09/2007
Last updated
01/18/2022
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