Kelly Harris

NPI #1801331715 in Redford, Michigan

Provider Information

NPI Number: 1801331715
Entity Type: Individual
Name: Kelly Harris
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Jan 1, 2017
Last Updated: Jan 1, 2017

Practice Location

Address: 9266 LOUIS
City: Redford
State: Michigan
ZIP Code: 48239-1732
Phone: (313) 318-3223

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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