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Kavon Harris

Driver in Slidell, LA. Individual provider (NPI-1).

NPI number1154101475
StatusActive
Last updated in NPPESOct 3, 2023

Details

NPI
1154101475
Entity type
Individual (NPI-1)
Name
Kavon Harris
Sex
Male
Sole proprietor
No
Enumeration date
Oct 3, 2023
Certification date
Oct 3, 2023
Last updated
Oct 3, 2023

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172A00000X Driver010730725LAYes

Practice location

2036 Dylan Dr
Slidell, LA 70461-4838

Phone 214-205-6740

Mailing address

2036 Dylan Dr
Slidell, LA 70461-4838

Phone 214-205-6740

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Driver providers in Slidell, LA

All 17 Driver providers in Slidell · All 2,622 providers in Slidell

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