Individual
DR. KENNETH A HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
611 S CHESTNUT STREET, SUITE A, ELLENSBURG, WA 98926
(509) 962-7390
(509) 925-6948
Mailing address
611 S CHESTNUT STREET, SUITE A, ELLENSBURG, WA 98926
(509) 962-7390
(509) 925-6948
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD00015916
WA
208600000X
Surgery Physician
Primary
MD00015916
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18531
L&I
WA
05
—
1948603
—
WA
05
—
7079346
—
WA
Enumeration date
12/30/2005
Last updated
03/28/2012
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