Provider Demographics
NPI:1811373517
Name:HARRIS, KATHERINE (DC)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:
Last Name:HARRIS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:KATHERINE
Other - Middle Name:
Other - Last Name:KLEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:6180 LINWORTH RD
Mailing Address - Street 2:
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-2812
Mailing Address - Country:US
Mailing Address - Phone:614-848-5211
Mailing Address - Fax:614-848-0392
Practice Address - Street 1:6180 LINWORTH RD
Practice Address - Street 2:
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-2812
Practice Address - Country:US
Practice Address - Phone:614-848-5211
Practice Address - Fax:614-848-0392
Is Sole Proprietor?:No
Enumeration Date:2015-08-04
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.012827111N00000X
OH4564111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor