Harris, Kelvin C

Harris, Kelvin C is an individual health care provider with primary practice located at 2680 Aberdeen Blvd Suite A, Gastonia NC 28054-0637. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Harris, Kelvin C can be contacted via phone (704) 865-2229.

Contact Information

Primary practice address
2680 Aberdeen Blvd Suite A Gastonia NC 28054-0637
Fax: (704) 865-2811
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 38774 North Carolina

Profile Details

NPI number 1114000791
LBN Legal business name Harris, Kelvin C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Oct 25th, 2007 - about 18 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 1114000791 NPPES
North Carolina MEDICAID 8939948
North Carolina MEDICAID N38774

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