Kevin C Harrison, Do Pc | |
9460 Amberdale Drive Suite C Richmond VA 23236 | |
(804) 276-2470 | |
(804) 276-2473 |
Full Name | Kevin C Harrison, Do Pc |
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Speciality | Internal Medicine |
Location | 9460 Amberdale Drive, Richmond, Virginia |
Authorized Official Name and Position | Kevin Charles Harrison (PHYSICIAN/PRESIDENT) |
Authorized Official Contact | 8042762470 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kevin C Harrison, Do Pc 9460 Amberdale Drive Suite C Richmond VA 23236 Ph: (804) 276-2470 | Kevin C Harrison, Do Pc 9460 Amberdale Drive Suite C Richmond VA 23236 Ph: (804) 276-2470 |
NPI Number | 1396926143 |
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Provider Enumeration Date | 11/21/2007 |
Last Update Date | 10/26/2009 |
Medicare PECOS PAC ID | 0547233314 |
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Medicare Enrollment ID | O20040818001408 |
Identifier | Type | State | Issuer |
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1396926143 | NPI | - | NPPES |
Provider Name | Kevin C Harrison |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1073514238 PECOS PAC ID: 1355314121 Enrollment ID: I20040819000482 |
Mary Brantley Holmes Msn Whnp-bc Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8955 Wishart Rd, Richmond, VA 23229 Phone: 804-928-5596 | |
Independent Associates Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7605 Forest Ave, Ste 211, Richmond, VA 23229 Phone: 804-282-3114 Fax: 804-285-9723 | |