Doctor Name: | MRS. CAROLYN S HARRIS |
NPI Number: | 1831214287 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DO |
License Number: | 03286 |
Business Practice Address: | 138 Campbellsville Bypass Suite 5 Campbellsville, KY - 427180000 |
Business Phone Number: | 2702834638 |
Business Fax Number: | 2702834639 |
Mailing Address: | 138 Campbellsville Bypass, Suite 5 CAMPBELLSVILLE |
State: | KY |
Postal Code: | 427180000 |
Phone Number: | 2702834638 |
Fax Number: | 2702834639 |
NPI Enumeration Date: | 03/21/2007 |
NPI Last Update Date: | 01/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 03286 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |