Individual
KEVIN W HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-6600
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
23706
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000058700
BLUE CROSS
AL
05
—
000058700
—
AL
05
—
009913655
—
AL
01
—
051501009
BLUE CROSS
AL
01
—
051513421
BLUE CROSS
AL
01
—
830007079
RAILROAD MEDICARE
AL
01
—
E33763
VIVA
AL
Enumeration date
06/23/2006
Last updated
06/13/2011
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