Khadidja Latise Harrell, M.D.

NPI #1013174218 in Joint Base Lewis Mcchord, Washington

Provider Information

NPI Number: 1013174218
Entity Type: Individual
Name: Khadidja Latise Harrell, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: M.D.
Enumeration Date: May 16, 2008
Last Updated: Feb 2, 2026

Practice Location

Address: 690 BARNES BLVD
City: Joint Base Lewis Mcchord
State: Washington
ZIP Code: 98438-1303
Phone: (253) 982-5688

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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