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MR. KENNETH LEE HARRISON JR. PA
NPI 1871670695
Physician Assistant in San Diego, CA

Active since November 01, 2006
3177 OCEAN VIEW BLVD., COMPREHENSIVE HEALTH CENTER/SAN YSIDRO HEALTH CENTER, SAN DIEGO, CA 92113(619) 231-9300(619) 858-1003 Get Directions Write a Review

NPPES record last updated: March 10, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Kenneth Lee Harrison Jr. Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KENNETH LEE HARRISON JR. PA (NPI 1871670695) is an individual physician assistant in San Diego, California, licensed in California (PA12009) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1871670695
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. KENNETH LEE HARRISON JR.Credential: PA
Location Address3177 OCEAN VIEW BLVD., COMPREHENSIVE HEALTH CENTER/SAN YSIDRO HEALTH CENTERSan Diego, CA 92113
Mailing Address3177 Ocean View Blvd, Comprehensive Health Center/san Ysidro Health CenterSan Diego, CA 92113 · (619) 231-9300 · Fax (619) 858-1003
Phone(619) 231-9300
Fax(619) 858-1003
Sole ProprietorNo
Enumeration DateNovember 1, 2006
Last NPPES UpdateMarch 10, 2014
✔ NPI 1871670695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA12009
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3177 OCEAN VIEW BLVD., San Diego, CA 92113
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Other Identifiers 2

Medicare UPINP67872
Medicare ID-Type UnspecifiedWPA12009ACA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Harrison's NPI number?

The NPI number for Kenneth Harrison is 1871670695. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Kenneth Harrison located?

Kenneth Harrison practices at 3177 Ocean View Blvd. Comprehensive Health Center/San Ysidro Health Center, San Diego, CA 92113. The listed phone number is (619) 231-9300.

What is Kenneth Harrison's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Kenneth Harrison was last updated on March 10, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.