Provider Demographics
NPI:1376619320
Name:DR. D. P. HARRIES PLLC
Entity Type:Organization
Organization Name:DR. D. P. HARRIES PLLC
Other - Org Name:HAMBURG PAIN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:HARRIES
Authorized Official - Suffix:
Authorized Official - Credentials:MB BCH
Authorized Official - Phone:859-264-7246
Mailing Address - Street 1:2408 SIR BARTON WAY
Mailing Address - Street 2:STE 125
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-2267
Mailing Address - Country:US
Mailing Address - Phone:859-264-7246
Mailing Address - Fax:859-264-0074
Practice Address - Street 1:2408 SIR BARTON WAY
Practice Address - Street 2:STE 125
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-2267
Practice Address - Country:US
Practice Address - Phone:859-264-7246
Practice Address - Fax:859-264-0074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2007-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0783103TC0700X
KY37745208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty