Individual
DR. KEVIN A HARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
15300 WATERTOWN PLANK RD, ELM GROVE, WI 53122-2300
(262) 786-9630
(262) 786-3972
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2179
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38575400
—
WI
Enumeration date
01/20/2006
Last updated
07/30/2024
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