Individual
KATHRYN JANE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1353 DORCHESTER AVE, DORCHESTER, MA 02122-2932
(617) 740-2277
Mailing address
1353 DORCHESTER AVE, DORCHESTER, MA 02122-2932
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
74423
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3083691
—
MA
Enumeration date
03/27/2006
Last updated
08/22/2014
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