Harris, Kendra Marie

Harris, Kendra Marie is an individual health care provider with primary practice located at 1400 S Orange Ave , Orlando FL 32806-2134. She recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as her primary health care specialty. Harris, Kendra Marie can be contacted via phone (407) 648-3800.

Contact Information

Primary practice address
1400 S Orange Ave Orlando FL 32806-2134
Fax: (407) 425-5203
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 308660 Louisiana
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 23357 Montana
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X ME159565 Florida

Profile Details

NPI number 1508031493
LBN Legal business name Harris, Kendra Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2008
Last updated Apr 5th, 2023 - about 2 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 1508031493 NPPES
Florida MEDICAID 015442600
Florida Other ME124770

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