Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 17968 | KY |
Y | 2080P0210X | Pediatric Nephrologist | 17968 | KY |
NPI | 1952500639 |
---|---|
Provider Name | Dr. Harold Lovell Harrison |
First Address | Louisville, KY 40201-0909 |
Second Address | Louisville, KY 40202-1903 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2007 |
Last Update Date | 09/09/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
64179682 | (05) | KY |