Harris, Kathy M

Harris, Kathy M is an individual health care provider with primary practice located at 510 N Elam Ave Suite 101, Greensboro NC 27403-1150. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Harris, Kathy M can be contacted via phone (336) 854-8800.

Contact Information

Primary practice address
510 N Elam Ave Suite 101 Greensboro NC 27403-1150
Phone: (336) 854-8800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 800030 North Carolina

Profile Details

NPI number 1215255153
LBN Legal business name Harris, Kathy M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2010
Last updated Nov 4th, 2013 - about 11 years ago

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 1215255153 NPPES
North Carolina MEDICAID 89014FU

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