Individual
KELLEY B HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 MEDICAL PARK BLVD, STE 450W, BRISTOL, TN 37620-7430
(423) 968-3713
(423) 968-7352
Mailing address
PO BOX 9, KINGSPORT, TN 37662-0009
(423) 857-2066
(423) 857-2070
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
023958
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
384240
ANTHEM
VT
01
—
4017031
BC
TN
05
—
5602998
—
VA
Enumeration date
07/05/2005
Last updated
02/10/2014
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