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Licensee Information

Kenneth Ray Harris - PA-C - PA
100931
Active
No
06/05/2022
07/12/2026

Active Supervisor

NameTypeStatusApprovedInactive
Kallgren, Timothy Carl, MD MD Active 12/26/2023

North Carolina Hospital Admitting Privileges

Location
None Reported

Out of State Active/Inactive Licenses

State
Florida
Indiana
North Carolina
Texas

Out of Country Active/Inactive Licenses

Country
None Reported
Information loaded from this database is current as of 5/10/2026 12:06:44 PM
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