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Kenneth Wayne Harris

  • Male

Medical Specialty

Professional ID

  • NPI: 1184698516
  • PECOS ID: 8022096932
  • Enrollment ID: I20170817002029
  • Credential(MD, DO, DPM): MD
  • Medical School: University Of Mississippi School Of Medicine
  • Medical School Graduation Year: 1984

Hospital Service

  • Hospital CCN1: 060006
  • Business Name (LBN)1: Montrose Memorial Hospital
  • Hospital CCN2: 010055
  • Business Name (LBN)2: Flowers Hospital
  • Hospital CCN3: 010021
  • Business Name (LBN)3: Dale Medical Center
  • Hospital CCN4: 010001
  • Business Name (LBN)4: Southeast Alabama Medical Center

Medical Practices

  • Organization Name: Cedar Point Health Llc
  • Group Practice ID assigned by PECOS: 0143119586
  • Number of Group Practice member: 22

Location

  • Address1: 300 S Nevada Ave
  • Address2:
  • City: Montrose
  • State: Colorado
  • Zip Code: 81401
  • Phone Number: (970)249-7751

Medical Practices

  • Organization Name: Montrose Memorial Hospital
  • Group Practice ID assigned by PECOS: 1658272992
  • Number of Group Practice member: 29

Location

  • Address1: 800 S 3rd St
  • Address2:
  • City: Montrose
  • State: Colorado
  • Zip Code: 81401
  • Phone Number: (970)249-2211

Medical Practices

  • Organization Name: Wiregrass Medical Associates 2 Llc
  • Group Practice ID assigned by PECOS: 9032495783
  • Number of Group Practice member: 0

Location

  • Address1: 312 Bryan Dr
  • Address2:
  • City: Ozark
  • State: Alabama
  • Zip Code: 36360
  • Phone Number: (334)774-2561

Medical Practices

  • Organization Name: Wiregrass Medical Associates Llc
  • Group Practice ID assigned by PECOS: 9830242205
  • Number of Group Practice member: 0

Location

  • Address1: 2431 W Main St
  • Address2: Suite 1102
  • City: Dothan
  • State: Alabama
  • Zip Code: 36301
  • Phone Number: (334)699-5780

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
  • Used Electronic health record (EHR): Yes