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Individual

KAYLA RENEE HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
1041 IRONTON HILLS DR UNIT B-1, IRONTON, OH 45638-9700
(740) 356-7300
(740) 442-7550
Mailing address
1735 27TH ST STE B06, PORTSMOUTH, OH 45662-2681
(740) 356-8425
(740) 442-7550

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
COA-17386-NP
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0133998
OH
Enumeration date
06/08/2015
Last updated
09/04/2024
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