Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNON HARRIS, M.D.
Active Sole ProprietorDR. KENNON HARRIS, M.D. is a Pediatrics healthcare provider located in EDGEWATER, Maryland. NPI 1063616290 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · EDGEWATER, MD
Registration Details
- NPI Number
- 1063616290
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 12, 2007 (19.128841195356 yrs)
- Last Updated
- Oct 16, 2012
- License
-
D0065603 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
224 MAYO RDEDGEWATER, MD, 210372951Browse MD providers · Browse ZIP 21037
- Phone
- 4109566303
- Fax
- 4109566637
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in EDGEWATER, MD
| Name | Credential | NPI |
|---|---|---|
| AZAM BAIG | MD | 1043203664 |
| ANNA CECELIA HIRSHON | MD | 1306856059 |
| MARINELA T MACARAEG | MD | 1679686133 |
| DR. MELISSA SMITH DITTRICH | M.D. | 1851669394 |
| DR. KIMBERLY NEIDIG | M.D. | 1083096564 |
| DR. MONEE MICKENS | MD | 1336503408 |
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.