Kenneth A Harris, RN, CCRN - Registered Nurse in Castro Valley, CA

Kenneth A Harris, RN, CCRN is a Registered Nurse - Critical Care Medicine based in Castro Valley, California. Kenneth A Harris is licensed to practice in California (license number 782137) and his current practice location is 20103 Lake Chabot Rd, Castro Valley, California. He can be reached at his office (for appointments etc.) via phone at (510) 537-1234.

NPI number for Kenneth A Harris is 1902412430 and his current mailing address is 165 Coosada Ln, Coosada, Alabama. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1902412430.

Contact Information

Kenneth A Harris, RN, CCRN
20103 Lake Chabot Rd,
Castro Valley, CA 94546-5305
(510) 537-1234
Not Available

Map and Direction




Provider's Profile

Full NameKenneth A Harris
GenderMale
SpecialityRegistered Nurse - Critical Care Medicine
Location20103 Lake Chabot Rd, Castro Valley, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1902412430
  • Provider Enumeration Date: 09/21/2020
  • Last Update Date: 11/27/2023

Medical Identifiers

Medical identifiers for Kenneth A Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902412430NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WG0000XRegistered Nurse - General Practice 1-105100 (Alabama)Secondary
163WC0200XRegistered Nurse - Critical Care Medicine 782137 (California)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. Kenneth A 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 AddressPractice Location Address
Kenneth A Harris, RN, CCRN
165 Coosada Ln,
Coosada, AL 36020-2919

Ph: (334) 268-9220
Kenneth A Harris, RN, CCRN
20103 Lake Chabot Rd,
Castro Valley, CA 94546-5305

Ph: (510) 537-1234

Reviews and Comments


Registered Nurse Nurses in Castro Valley, CA

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Latricia A Amadeo, RN
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Susan Mary Karplus, N.P.
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Practice Location: 20400 Lake Chabot Rd, Suite 102, Castro Valley, CA 94546
Phone: 510-247-9227    Fax: 510-247-9241
Maria Charissa Calderon, RN
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Abibat Biodun Ajiboye, NP
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Practice Location: 3056 Castro Valley Blvd Ste 102, Castro Valley, CA 94546
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Alexandra Siegel,
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Medicare: Not Enrolled in Medicare
Practice Location: 3787 Brookdale Blvd, Castro Valley, CA 94546
Phone: 510-461-9542    

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