NPI 1003065913
Kelvin Ladon Harris
Practice location
- Address
- Uss Tennessee (ssbn 734), Fpo, AP 34093-2117
- Phone
- (912) 573-3253
- Mailing address
- 605 Plantation Village Dr, Saint Marys, GA 31558-4827
Registered specialties
Independent Duty Corpsman
Primary
Registry record
- NPI
- 1003065913
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 16 Sep 2008
- Record last updated
- 16 Sep 2008
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.