Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Khadidja Latise Harrell, MD

Individual provider Pediatrics Physician · NPI 1013174218

Khadidja Latise Harrell, MD is a Pediatrics Physician in Joint Base Lewis McChord, Washington. Licensed in Washington. Registered with an NPI since 2008.

Licensed in
WA
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

690 Barnes Blvd
Joint Base Lewis McChord, WA 98438-1303
Phone: (253) 982-5688
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 60935910 (WA)

Record details

NPI number1013174218
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 16, 2008
Last updated in NPPESFebruary 2, 2026
Certification dateFebruary 2, 2026
Mailing address505 Broadway Unit 700, Tacoma, WA 98402-3997

Other providers in Joint Base Lewis McChord