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

KENNETH A HARRIS, RN, CCRN

Active Sole Proprietor

KENNETH A HARRIS, RN, CCRN is a Critical Care Nurse healthcare provider located in CASTRO VALLEY, California. NPI 1902412430 is currently active in the NPPES registry. Verify at CMS.

Critical Care Nurse · CASTRO VALLEY, CA

Registration Details

NPI Number
1902412430
Provider Type
Individual
Gender
Male
NPI Issued
Sep 21, 2020 (5.9363610598799 yrs)
Last Updated
Nov 27, 2023
Licenses
1-105100 (AL)
782137 (CA)
Sole Proprietor
Yes

Practice Information

Address
20103 LAKE CHABOT RD
CASTRO VALLEY, CA, 945465305
Browse CA providers · Browse ZIP 94546
Phone
5105371234
Primary Specialty
Critical Care Nurse
163WC0200X
Additional Specialty
Critical Care Nurse

Other Critical Care Nurse Providers in CASTRO VALLEY, CA

Name Credential NPI
MAHALEY RACHEL SANBORN RN 1871344333
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.