Individual
KENDRA WARD HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 MEDICAL CENTER DR, PRATTVILLE, AL 36066
(334) 568-2273
Mailing address
102 MEDICAL CENTER DR, PRATTVILLE, AL 36066-7286
(334) 568-2273
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-136173
AL
Other
Enumeration date
08/16/2018
Last updated
05/20/2019
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