KENNETH A HARRIS RN CCRN NPI 1902412430

NPI Information

NPI: 1902412430
Provider Name: KENNETH A HARRIS, RN, CCRN
Classification: Registered Nurse - 163WC0200X
Entity Type: Individual

Specialization: Critical Care Medicine

Address:
20103 LAKE CHABOT RD
CASTRO VALLEY, CA
ZIP 94546
Phone: (510) 537-1234
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Kenneth A Harris, RN, CCRN is a critical care medicine registered nurse in Castro Valley, CA. Kenneth A Harris, RN, CCRN NPI is 1902412430. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

20103 LAKE CHABOT RD
CASTRO VALLEY, CA
ZIP 94546-305
Phone: (510) 537-1234

The enumeration date for this NPI number is 9/21/2020 and was last updated on 11/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WG0000X	Registered Nurse	General Practice	1-105100	ALABAMA	No
2	163WC0200X	Registered Nurse	Critical Care Medicine	782137	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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