Individual
MR. CHRISTOPHER DEWAYNE HARBISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13214 KNOLL WIND WAY, LOUISVILLE, KY 40299-4796
(502) 386-1223
Mailing address
13214 KNOLL WIND WAY, LOUISVILLE, KY 40299-4796
(502) 386-1223
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
H96-854-412
KY
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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