Kathie M Morris

Individual provider Active NPI Contractor · Proctor, OK

NPI 1275804288 · NPPES record last updated Jan 23, 2012

Key facts

NPI
1275804288
Entity type
Individual (NPI type 1)
Primary specialty
Contractor 171W00000X
Practice address
HC 66 Box 21
Proctor, OK 74457-9608
Phone
(918) 723-5399
Fax
(918) 456-0140
NPI assigned
Jan 23, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X OK Yes

Addresses

Primary practice location

HC 66 Box 21
Proctor, OK 74457-9608

Mailing address

HC 66 Box 21
Proctor, OK 74457-9608

Sources for this page

Verify at the official NPI Registry.