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NPI Profile for KENDRA W HARRIS in PRATTVILLE, AL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI # | 1811477193 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 08/16/2018 | |
| Last updated | 05/20/2019 - About 7 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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KENDRA W HARRIS
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KENDRA W HARRIS