Whalio Doctors

NPI 1003065913

Kelvin Ladon Harris

Practitioner Independent Duty Corpsman Fpo, AP

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
Other Service Providers Taxonomy 1710I1002X

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.