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Contact Information

KYLIE F HARRIS
21585 N 77TH AVE # 1500
PEORIA, AZ85382-2138
 Phone: 623-362-9322
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Compounded Sterile Preparations

1835C0207X
Indicates primary specialty

NPI Profile & details for KYLIE F HARRIS · (Female)

NPI Number 1487422127
Status Active
Credentials
Entity Individual
Enumeration date 12/12/2023
Last updated 01/02/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # S026106
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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