Individual provider · Type 1 NPI

Kennedi Breelle Harris

Medical Physician Assistant · Santa Monica, CA

NPI number 1215821889 Active

Practice location

907 Pico Blvd
Santa Monica, CA 90405-1326

Call (866) 452-5273 Map

Mailing address

403 E 137th St
Los Angeles, CA 90061-2603

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1215821889

Kennedi Breelle Harris's National Provider Identifier is 1215821889, issued on Jun 6, 2025. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Santa Monica, CA. The record was last updated on Jun 6, 2025.