Kimberly Ann Harris, RN
Individual provider Active NPI Registered Nurse · Perrysburg, NY
NPI 1962533307 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1962533307
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 408114 (NY)
- Practice address
- 10714 North Rd
Perrysburg, NY 14129-9746 - Phone
- (716) 945-4789
- NPI assigned
- Mar 8, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 408114 | NY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 408114 | NY | Yes |
Addresses
Primary practice location
10714 North Rd
Perrysburg, NY 14129-9746
Mailing address
4068 N State St
Salamanca, NY 14779-9700
Phone (716) 945-4789
Other providers in Perrysburg, NY
- Alison Fronczak
- Frances A Gabel
- Paul Guglielmo
- Margaret Ann Gunsolus
- Kathleen J Guziec
- Nicole Kristine Hassler
- Melissa A Hedstrand
- Ann L Hintermeier
- Katherine Mae Kadien
- Shannon Marie Kasperek
All providers in Perrysburg, NY · Registered Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.