Harris, Katherine Raye

Harris, Katherine Raye is an individual health care provider with primary practice located at 1050 N James M Campbell Blvd Ste 200 , Columbia TN 38401-2754. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Harris, Katherine Raye can be contacted via phone (931) 381-2663.

Contact Information

Primary practice address
1050 N James M Campbell Blvd Ste 200 Columbia TN 38401-2754
Fax: (931) 490-1369
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2201 Tennessee

Profile Details

NPI number 1225389547
LBN Legal business name Harris, Katherine Raye
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2012
Last updated Oct 13th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225389547 NPPES
Tennessee MEDICAID Q000222

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