Harris, Kenneth Wayne

Harris, Kenneth Wayne is an individual health care provider with primary practice located at 300 S Nevada Ave , Montrose CO 81401-4273. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Medical Genetics, Ph.D. Medical Genetics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Harris, Kenneth Wayne can be contacted via phone (970) 249-7751.

Contact Information

Primary practice address
300 S Nevada Ave Montrose CO 81401-4273
Phone: (970) 249-7751
Fax: (970) 249-5029
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Medical Genetics, Ph.D. Medical Genetics 170100000X 27344 Tennessee
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD13956 Alabama

Profile Details

NPI number 1184698516
LBN Legal business name Harris, Kenneth Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Jul 21st, 2022 - 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 1184698516 NPPES
Tennessee MEDICAID 3096568

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