NPI 1003041617

Kimberly Dawn Harris, CRNA

Practitioner Certified Registered Nurse Anesthetist Detroit, MI

Practice location

Address: 3990 John R St, Detroit, MI 48201-2018
Phone: (313) 745-8521
Mailing address: PO Box 67000 Dept 203401, Detroit, MI 48267-0002

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 4704169677 (MI)

Other Nurse Anesthetist, Certified Registered providers in Michigan →

Registry record

NPI: 1003041617
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 May 2009
Record last updated: 28 Jun 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.