Provider Demographics
NPI:1437117504
Name:HARMON, KEVIN C (ATC)
Entity Type:Individual
Prefix:MR
First Name:KEVIN
Middle Name:C
Last Name:HARMON
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 BALLPARK WAY
Mailing Address - Street 2:SUITE 400
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76011-5168
Mailing Address - Country:US
Mailing Address - Phone:682-518-6210
Mailing Address - Fax:
Practice Address - Street 1:1000 BALLPARK WAY
Practice Address - Street 2:SUITE 400
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76011-5168
Practice Address - Country:US
Practice Address - Phone:817-273-5049
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT3363174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist