KENNETH RODLE HARRIS III (NPI# 1881241933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881241933 |
| Entity Type | Individual |
| Full Name | KENNETH RODLE HARRIS III |
| Credential | LCSW |
| Practice Address |
Womack Army Medical Center 2817 Reilly Road Fort Bragg NC 28310-0001 |
| Mailing Address |
2817 Reilly St Fort Bragg NC 28310-7324 |
| Practice Telephone | 9109078697 |
| Mailing Telephone | 9109078697 |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2019-08-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063778967 | Kenneth Harris | Marriage & Family Therapist | 801 W 33rd St Unit 7972, Edmond, OK 73083-9517 | 2012-04-04 |
| 1790931335 | Kenneth Hal Harris | Pharmacist | 1776 Avalon St, Klamath Falls, OR 97603-4624 | 2008-08-14 |
| 1669538120 | Kenneth Harris | Chiropractor | 51 E Prospect St, Waldwick, NJ 07463-2237 | 2006-12-29 |
| 1811055742 | Kenneth Paul Harris | Respiratory Therapist, Certified | 534 Brockton Ln, Schaumburg, IL 60193-2402 | 2006-12-04 |
| 1235145327 | Kenneth Charles Harris | Anesthesiology | 9220 Silverwood Ct, Granite Bay, CA 95746-7242 | 2006-07-31 |
| 1245294255 | Kenneth Lee Harris | Optometrist | 933 Siskiyou Blvd, Ashland, OR 97520-2143 | 2006-04-14 |
| 1841277845 | Kenneth A Harris | Specialist | 611 S Chestnut Street, Suite A, Ellensburg, WA 98926 | 2005-12-30 |
| 1861492027 | Kenneth B Harris | Internal Medicine | 444 Neptune Blvd, Neptune, NJ 07753-4144 | 2005-07-28 |
| 1902412430 | Kenneth A Harris | Registered Nurse | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 | 2020-09-21 |
| 1023499365 | Kenneth Harris | Counselor | 24 Brookhill Dr, Newark, DE 19702-1301 | 2015-06-12 |
| Street Address |
WOMACK ARMY MEDICAL CENTER 2817 REILLY ROAD |
| City | FORT BRAGG |
| State | NC |
| Zip Code | 28310-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629360250 | Eric Russell Sigmon | Pediatrics | Womack Army Medical Center 2817 Reilly Road, Fort Bragg, NC 28310-0001 | 2011-05-16 |
| 1255998894 | Marion Copeland | Student in an Organized Health Care Education/Training Program | Womack Army Medical Center 2817 Reilly Road, Fort Bragg, NC 28310-0001 | 2019-05-20 |
| 1154807881 | Leighann Black | Student in an Organized Health Care Education/Training Program | Womack Army Medical Center 2817 Reilly Road, Fort Bragg, NC 28310-0001 | 2018-07-16 |
| 1457846966 | Katherine Joseph | Student in an Organized Health Care Education/Training Program | Womack Army Medical Center 2817 Reilly Road, Fort Bragg, NC 28310-0001 | 2018-06-27 |
| 1467960450 | Lisa Shepherd | Physical Therapist | Womack Army Medical Center 2817 Reilly Road, Fort Bragg, NC 28310-0001 | 2018-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013550763 | Brent Francis Bachman | Physician Assistant | 2817 Reilly Street, Fort Bragg, NC 28310 | 2019-10-25 |
| 1417503459 | Cooper Pasque | Dentist | 1838 Normandy Dr., Fort Bragg, Apo, AA 28310 | 2019-08-15 |
| 1851959951 | Daniel Jordan Whitaker | Student in an Organized Health Care Education/Training Program | Womack Army Medical Center, 2817 Reilly Road, Mcxc-cod Credentials, Fort Bragg, NC 28310 | 2019-06-03 |
| 1679054217 | Christopher Cetnar | Dentist | Smokebomb Hill, Bldg 3718 Gruber Road, Fort Bragg, NC 28310 | 2018-08-22 |
| 1316427107 | Alexandrea Lee Clark | Dentist | Laflamme Dental Clinic, Bldg C6238 Ardennes Road, Fort Bragg, NC 28310 | 2018-08-21 |
| 1457843831 | Kevin Patrick Hudson | Student in an Organized Health Care Education/Training Program | 2817 Reilly Road Mxcx - Cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310 | 2018-06-01 |
| 1639691462 | Margaret S Greene | Dentist | Usa Dental Health Activity Fort Bragg, Wamc Box #151 2817 Rielly Rd, Fort Bragg, NC 28310 | 2017-07-13 |
| 1912432246 | Chezdan Baker | Student in an Organized Health Care Education/Training Program | Us Army Dental Health Activity Bldg-6837 Normandy Drive, Fort Bragg, NC 28310 | 2017-04-24 |
| 1215483094 | Shantryce Monique Boatwright Crump | Dental Hygienist | 2617 Rielly Road, Fort Bragg, NC 28310 | 2016-08-31 |
| 1629435714 | John Gagnier | Physician Assistant | Gruber Road, Building #c-1722, Fort Bragg, NC 28310 | 2016-01-21 |
| Find all providers in zip 28310 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | 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. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851959951 | Daniel Jordan Whitaker | Student in an Organized Health Care Education/Training Program | Womack Army Medical Center, 2817 Reilly Road, Mcxc-cod Credentials, Fort Bragg, NC 28310 | 2019-06-03 |
| 1457843831 | Kevin Patrick Hudson | Student in an Organized Health Care Education/Training Program | 2817 Reilly Road Mxcx - Cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310 | 2018-06-01 |
| 1912432246 | Chezdan Baker | Student in an Organized Health Care Education/Training Program | Us Army Dental Health Activity Bldg-6837 Normandy Drive, Fort Bragg, NC 28310 | 2017-04-24 |
| 1750552832 | Roger Williams | Student in an Organized Health Care Education/Training Program | Womack Area Medical Center, Family Medical Residency Center, Bldg 4-2817, Fort Bragg, NC 28310-5000 | 2008-03-18 |
| 1255955605 | Elisabeth May Potts | Student in an Organized Health Care Education/Training Program | 2817 Reilly Road, Fort Bragg, NC 28310-7301 | 2020-06-02 |
| 1891319240 | Anne Brezovec | Student in an Organized Health Care Education/Training Program | 2817 Reilly St, Fort Bragg, NC 28310-7324 | 2020-06-02 |
| 1437773884 | Stephen Daniel Breisach | Student in an Organized Health Care Education/Training Program | 2817 Reilly St, Fort Bragg, NC 28310-7394 | 2020-06-02 |
| 1184248577 | Steven Alex Calder | Student in an Organized Health Care Education/Training Program | 2817 Reilly St, Fort Bragg, NC 28310-7394 | 2020-06-02 |
| 1184248510 | Quang Luu Gonzalez | Student in an Organized Health Care Education/Training Program | 2817 Reilly St, Fort Bragg, NC 28310-7394 | 2020-06-01 |
| 1104440643 | Michael Jeremy Lawson | Student in an Organized Health Care Education/Training Program | 2817 Reilly St, Fort Bragg, NC 28310-7301 | 2020-06-01 |
| Find all providers in FORT BRAGG | ||||
| City | FORT BRAGG |
| Zip Code | 28310 |
Please comment or provide details below to improve the information on KENNETH RODLE HARRIS III.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.