| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 11/21/2007 |
| Last Update Date | 10/26/2009 |
| Medicare PECOS PAC ID | 0547233314 |
|---|---|
| Medicare Enrollment ID | O20040818001408 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396926143 | NPI | - | NPPES |
| Provider Name | Kevin C Harrison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073514238 PECOS PAC ID: 1355314121 Enrollment ID: I20040819000482 |
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