Individual provider · Type 1 NPI

Kenneth Rodle Harris Iii, LCSW

Student in an Organized Health Care Education/Training Program · Fort Bragg, NC

NPI number 1881241933 Active

Practice location

Womack Army Medical Center 2817 Reilly Road
Fort Bragg, NC 28310-0001

Call (910) 907-8697 Map

Mailing address

2817 Reilly St
Fort Bragg, NC 28310-7324

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1881241933

Kenneth Rodle Harris Iii, LCSW's National Provider Identifier is 1881241933, issued on Aug 23, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Bragg, NC. The record was last updated on Aug 23, 2019.