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Individual

CORRIE A HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
231 E CHESTNUT ST, LOUISVILLE, KY 40202-1821
(502) 629-6000
(502) 629-5991
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0324
(502) 588-0326

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
246114
NY
208000000X
Pediatrics Physician
Primary
46086
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201201690
IN
05
7100253700
KY
Enumeration date
07/04/2006
Last updated
10/19/2020
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