Harrison, Kevin Charles

Harrison, Kevin Charles is an sole proprietor health care provider with primary practice located at 10151 Montgomery Blvd Ne Ste C , Albuquerque NM 87111-3670. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Harrison, Kevin Charles can be contacted via phone (505) 275-1662.

Contact Information

Primary practice address
10151 Montgomery Blvd Ne Ste C Albuquerque NM 87111-3670
Phone: (505) 275-1662
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X DD3470 New Mexico

Profile Details

NPI number 1407140361
LBN Legal business name Harrison, Kevin Charles
Credentials D.M.D., M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2011
Last updated Jun 7th, 2011 - about 13 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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