Provider Demographics
NPI:1326864448
Name:HARMON, KIMEISHA C (CHW)
Entity type:Individual
Prefix:
First Name:KIMEISHA
Middle Name:C
Last Name:HARMON
Suffix:
Gender:F
Credentials:CHW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7019 MICKWAYNE CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77069-1118
Mailing Address - Country:US
Mailing Address - Phone:832-655-5792
Mailing Address - Fax:
Practice Address - Street 1:7019 MICKWAYNE CT
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77069-1118
Practice Address - Country:US
Practice Address - Phone:832-655-5792
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-25
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18233172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker