Individual
LINDA G HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1029 MEDICAL DR, MAYFIELD, KY 42066-4072
(270) 748-6891
(270) 554-8103
Mailing address
950 BERGER ROAD, PADUCAH, KY 42003
(270) 748-6891
(270) 554-8103
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
378A
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2604043000
—
WV
05
—
74176629
—
KY
Enumeration date
09/15/2005
Last updated
02/09/2021
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