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Contact Information

KENNETH A HARRIS, MD
611 S CHESTNUT STREET, SUITE A
ELLENSBURG, WA98926
 Phone: 509-962-7390
 Fax: 509-925-6948
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for KENNETH A HARRIS · (Male)

NPI # 1841277845
Status Active
Credentials MD
Entity Individual
Enumeration date 12/30/2005
Last updated 03/28/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • WA License # MD00015916
  • WA Medicaid 1948603
  • WA Medicaid 7079346
  • WA Other 18531 L&I
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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