Active NPI
Kelly Christine Morris
- Specialist
- West Milton, OH
National Provider Identifier
1073723011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- SM224148
- Practice address
- 324 Park Ave
West Milton, OH 45383-1718 - Phone
- (937) 301-9034
- NPI assigned
- May 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | SM224148 | OH | Primary |
Addresses
Primary practice location
324 Park Ave
West Milton, OH 45383-1718
Mailing address
33 S Main St
West Milton, OH 45383-1808
Phone (937) 301-9034
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 256-8805 | Other | OH | INDEPENDANT PROVIDER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SM224148 | OH | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073723011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 S MAIN ST",
"city": "WEST MILTON",
"state": "OH",
"postal_code": "453831808",
"telephone_number": "937-301-9034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 PARK AVE",
"city": "WEST MILTON",
"state": "OH",
"postal_code": "453831718",
"telephone_number": "937-301-9034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "KELLY",
"middle_name": "CHRISTINE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OH",
"license": "SM224148",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDANT PROVIDER",
"identifier": "256-8805",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Milton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.