Doctor Name: | MRS. KATHI L. HARRIS |
NPI Number: | 1033115332 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | 38440 |
Business Practice Address: | 222 N 5th St Martins Ferry, OH - 439351582 |
Business Phone Number: | 7406334146 |
Business Fax Number: | 7406334148 |
Mailing Address: | 2000 Eoff St, WHEELING |
State: | WV |
Postal Code: | 260033823 |
Phone Number: | 3042348663 |
Fax Number: | 3042348960 |
NPI Enumeration Date: | 06/22/2005 |
NPI Last Update Date: | 09/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 38440 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WV |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |