Skip Navigation

Provider Information for 1316460009

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. KAYCI M HARRIS DMD

Gender: FEMALE

Individual NPI: 1316460009

Calendar   Last Updated:  2017-07-25
  Certification Date: 

Details

Name Value
NPI 1316460009
Enumeration Date 2017-07-25
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address PO BOX 37
EMBUDO, NM 87531-0037
United States

Phone: 505-579-4680 | Fax: 505-579-4074
View Map External Link
Primary Practice Address 1102 STATE HIGHWAY 68
EMBUDO, NM 87531
United States

Phone: 505-579-4680 | Fax: 505-579-4074
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist NM DD4761