Harris, Kenneth A

Harris, Kenneth A is an sole proprietor health care provider with primary practice located at 20103 Lake Chabot Rd , Castro Valley CA 94546-5305. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Nursing Service Providers / Critical Care Medicine. Nursing Service Providers / Critical Care Medicine is his primary health care specialty. Harris, Kenneth A can be contacted via phone (510) 537-1234.

Contact Information

Primary practice address
20103 Lake Chabot Rd Castro Valley CA 94546-5305
Phone: (510) 537-1234
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 1-105100 Alabama
Nursing Service Providers / Critical Care Medicine 163WC0200X 782137 California

Profile Details

NPI number 1902412430
LBN Legal business name Harris, Kenneth A
Credentials RN, CCRN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2020
Last updated Nov 27th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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