Kiev Davale Harris, is a
Community Health Worker based in Oakland, California. Kiev Davale Harris is licensed to practice in * (Not Available) (license number ) and his current practice location is
3301 E 12th St Ste 259, Oakland, California. He can be reached at his office (for appointments etc.) via phone at
(510) 698-9151.
NPI number for Kiev Davale Harris is 1528579067 and his current mailing address is 3301 E 12th St Ste 259, Oakland, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1528579067.
Healthcare Provider's Profile
| Full Name | Kiev Davale Harris |
|---|
| Gender | Male |
|---|
| Speciality | Community Health Worker |
|---|
| Location | 3301 E 12th St Ste 259, Oakland, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1528579067
- Provider Enumeration Date: 10/23/2017
- Last Update Date: 02/15/2018
Medical Identifiers
Medical identifiers for Kiev Davale Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528579067 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kiev Davale Harris is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kiev Davale Harris,
3301 E 12th St Ste 259,
Oakland, CA 94601-2940
Ph: () - | Kiev Davale Harris,
3301 E 12th St Ste 259,
Oakland, CA 94601-2940
Ph: (510) 698-9151 |
Reviews and Comments