Individual
KENNETH O HARRIS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 HIGHLAND ST, SUITE 300, MILTON, MA 02186-3881
(617) 698-8855
Mailing address
100 HIGHLAND ST, MILTON, MA 02186-3881
(617) 698-8855
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
58821
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110207599
MEDICARE RAILRAOD
MA
01
—
30111
PILGRIM
MA
05
—
3077706
—
MA
01
—
703629
SECURE HORIZONS
MA
01
—
730629
TUFTS
MA
01
—
HAJ08079
BLUE SHIELD
MA
Enumeration date
07/11/2006
Last updated
10/25/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us