Harris, Kenneth O
Harris, Kenneth O is an individual health care provider with primary practice located at 100 Highland St Suite 300, Milton MA 02186-3881. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Harris, Kenneth O can be contacted via phone (617) 698-8855.Contact Information
Primary practice address
100 Highland St Suite 300
Milton MA 02186-3881
Phone: (617) 698-8855
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 58821 | Massachusetts |
Profile Details
| NPI number | 1790710887 |
|---|---|
| LBN Legal business name | Harris, Kenneth O |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Oct 25th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790710887 | NPPES |
| Massachusetts | MEDICAID | 3077706 | |
| Massachusetts | Other | 730629 | |
| Massachusetts | Other | 110207599 | |
| Massachusetts | Other | 30111 | |
| Massachusetts | Other | 703629 | |
| Massachusetts | Other | HAJ08079 |
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