Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 0101034962 | VA |
NPI | 1023089760 |
---|---|
Provider Name | Joseph Kim Harris |
First Address | Richmond, VA 23226-3792 |
Second Address | North Chesterfield, VA 23236-4500 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2006 |
Last Update Date | 27/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
6102557 | (05) | VA |