National Provider Identifier

Keanna Harris

Keanna Harris is listed in the NPPES registry with a primary specialty of Registered Nurse in Buffalo, NY and a listed phone number of (716) 349-9772.

NPI 1245995489Buffalo, NYRegistered Nurse

Profile Overview

NPI
1245995489
Provider Type
Individual
Primary Specialty
Registered Nurse
Enumeration Date
November 02, 2021
Last Updated
November 02, 2021

Practice Location

  • 98 Hewitt Ave
  • Buffalo, NY 14215-1514

Phone: (716) 349-9772

Specialties

  • Registered Nurse (163W00000X)
Full Record
NPI
1245995489
Entity Type
Individual
Last Name
Harris
First Name
Keanna
Name Prefix
Mrs.
Provider Other Last Name
Richardson
Provider Other First Name
Keanna
Provider Other Credential Text
RN
Provider Other Last Name Type Code
1
Mailing Street Address
98 Hewitt Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14215-1514
Mailing Country
US
Mailing Phone
(716) 349-9772
Practice Street Address
98 Hewitt Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14215-1514
Practice Country
US
Practice Phone
(716) 349-9772
Enumeration Date
November 02, 2021
Last Updated
November 02, 2021
Sex
Female
Sole Proprietor
Yes
Certification Date
November 02, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Nurse (163W00000X)