Provider Demographics
NPI:1164433504
Name:HARSHBARGER, KENT EDWARD (MD, JD)
Entity Type:Individual
Prefix:DR
First Name:KENT
Middle Name:EDWARD
Last Name:HARSHBARGER
Suffix:
Gender:M
Credentials:MD, JD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:361 W 3RD ST
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45402-1418
Mailing Address - Country:US
Mailing Address - Phone:937-436-2530
Mailing Address - Fax:937-496-7916
Practice Address - Street 1:361 W 3RD ST
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45402-1418
Practice Address - Country:US
Practice Address - Phone:937-436-2530
Practice Address - Fax:937-496-7916
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01047436207ZF0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZF0201XAllopathic & Osteopathic PhysiciansPathologyForensic Pathology