Individual
MR. KEVIN HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2802 SOUTHERN AVE, BALTIMORE, MD 21214-2832
(919) 622-5698
Mailing address
2802 SOUTHERN AVE, BALTIMORE, MD 21214-2832
(919) 622-5698
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M04305
MD
Other
Enumeration date
12/04/2020
Last updated
12/04/2020
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