Individual
KEVIN T HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1805 27TH ST, PORTSMOUTH, OH 45662-2686
(740) 356-8231
(740) 356-3686
Mailing address
1735 27TH ST STE B06, PORTSMOUTH, OH 45662-2681
(740) 356-8681
(740) 356-1256
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
3018194
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.09812
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2797433
—
OH
01
—
P00634344
RAILROAD MEDICARE
OH
Enumeration date
12/18/2007
Last updated
08/15/2025
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