Provider Demographics
NPI:1033354121
Name:HARRISON, KARI KAMAY (RN)
Entity Type:Individual
Prefix:
First Name:KARI
Middle Name:KAMAY
Last Name:HARRISON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:138 FREENY VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:CADDO
Mailing Address - State:OK
Mailing Address - Zip Code:74729-2607
Mailing Address - Country:US
Mailing Address - Phone:580-364-3334
Mailing Address - Fax:888-330-1683
Practice Address - Street 1:138 FREENY VALLEY RD
Practice Address - Street 2:
Practice Address - City:CADDO
Practice Address - State:OK
Practice Address - Zip Code:74729-2607
Practice Address - Country:US
Practice Address - Phone:580-364-3334
Practice Address - Fax:888-330-1683
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-04
Last Update Date:2008-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0077019163WW0000X
TX691667163WW0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WW0000XNursing Service ProvidersRegistered NurseWound Care