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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KHADIDJA LATISE HARRELL, M.D.

Active

KHADIDJA LATISE HARRELL, M.D. is a Pediatrics healthcare provider located in JOINT BASE LEWIS MCCHORD, Washington. NPI 1013174218 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · JOINT BASE LEWIS MCCHORD, WA

Registration Details

NPI Number
1013174218
Provider Type
Individual
Gender
Female
NPI Issued
May 16, 2008 (18.208560480654 yrs)
Last Updated
Feb 2, 2026
License
60935910 (WA)

Practice Information

Address
690 BARNES BLVD
JOINT BASE LEWIS MCCHORD, WA, 984381303
Browse WA providers · Browse ZIP 98438
Phone
2539825688
Primary Specialty
Pediatrics
208000000X

Other Pediatrics Providers in JOINT BASE LEWIS MCCHORD, WA

Name Credential NPI
DR. AMY CONNORS MD 1881642262
DR. JENNIFER WEEKS M.D. 1659767895
MARK AHLENIUS MD 1396278891
AIMEE NICOLE RAMBIE 1659837631
JANE ANN CROTTEAU 1891258034
NELSON ERIK VICK MD 1760046130
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.