Most Relevant Information
Provider Data
| NPI Number: | 1003065913 |
| Provider Name: | KELVIN LADON HARRIS |
| Entity Type: | Individual |
| Taxonomy Code: | 1710I1002X |
| Specialty: | Military Health Care Provider |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/16/2008 |
| Last Updated: | 09/16/2008 |
Provider Practice Location
USS TENNESSEE (SSBN 734)
FPO
AP
340932117
Practice Location Phone/Fax
| Phone: | 9125733253 |
| Fax: |
Provider Mailing Location
605 PLANTATION VILLAGE DR
SAINT MARYS
GA
315584827
Provider Mailing Phone/Fax
| Phone: | 9125761381 |
| Fax: |