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

MR. KENNETH LEE HARRISON JR., PA

Active

MR. KENNETH LEE HARRISON JR., PA is a Physician Assistant healthcare provider located in SAN DIEGO, California. NPI 1871670695 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · SAN DIEGO, CA

Registration Details

NPI Number
1871670695
Provider Type
Individual
Gender
Male
NPI Issued
Nov 1, 2006 (19.756348622582 yrs)
Last Updated
Mar 10, 2014
License
PA12009 (CA)

Practice Information

Address
3177 OCEAN VIEW BLVD.
COMPREHENSIVE HEALTH CENTER/SAN YSIDRO HEALTH CENTER
SAN DIEGO, CA, 92113
Browse CA providers · Browse ZIP 92113
Phone
6192319300
Fax
6198581003
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in SAN DIEGO, CA

Name Credential NPI
MR. ROBERT KIERNAN P.A. 1538164702
EMILY CHRISTINE RALL PA-C 1407855828
NATHALIE CALLAHAN EGAN P.A. 1770583262
MR. JEREMY ANDREW ADLER PA-C 1538154786
MICHAEL J. NELMS PA-C 1235113580
MR. PATRICK MICHAEL HARE PA-C 1427033216
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.