KIMBERLY LYN HARRIS RN
NPI 1528754348
Registered Nurse - Ambulatory Care in Mchenry, IL
Active since April 14, 2023
About Kimberly Lyn Harris Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY LYN HARRIS RN (NPI 1528754348) is an individual ambulatory care provider in Mchenry, Illinois, licensed in Washington (RN00106701) and active in the NPI registry since April 2023.
NPPES Registry Identity
NPI1528754348
Entity TypeIndividualFemale
Primary Taxonomy163WP2201X
Provider Legal NameKIMBERLY LYN HARRISCredential: RN
Location Address3715 MUNICIPAL DRMchenry, IL 60050-5483
Mailing Address3715 Municipal DrMchenry, IL 60050-5483 · (815) 759-2306 · Fax (815) 759-1953
Phone(815) 759-2306
Fax(815) 759-1953
Sole ProprietorNo
Enumeration DateApril 14, 2023
NPPES CertifiedApril 14, 2023
✔ NPI 1528754348 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Ambulatory CareNursing Service Providers
Taxonomy Code163WP2201X
License✔ Licensed in WA · RN00106701
3715 MUNICIPAL DR, Mchenry, IL 60050
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528754348, enumerated as an "individual" on April 14, 2023.
The provider is located at 3715 MUNICIPAL DR MCHENRY, IL 60050 and the phone number is (815) 759-2306.
Registered Nurse with taxonomy code 163WP2201X and a focus in Ambulatory Care.