Most Relevant Information
Provider Data
| NPI Number: | 1003175977 |
| Provider Name: | KEVAN BING HARRIS M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/11/2012 |
| Last Updated: | 05/11/2012 |
Provider Practice Location
910 MADISON AVE
SUITE 1031
MEMPHIS
TN
381033403
Practice Location Phone/Fax
| Phone: | 9014485364 |
| Fax: | 9014486182 |
Provider Mailing Location
920 MADISON AVE
SUITE 212
MEMPHIS
TN
381033438
Provider Mailing Phone/Fax
| Phone: | 9014482302 |
| Fax: | 9014481477 |