Kathryn Morici, MD MPH CHCQM

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

D45267 Issued in MD

Practice address

10 Club Cart Rd
Travelers Rest, SC 29690-8487

Phone

(301) 465-3139

NPI assigned

Jul 27, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Kathryn Clark Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1722038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722038400000",
    "number": "1760211908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CLUB CART RD",
            "city": "TRAVELERS REST",
            "state": "SC",
            "postal_code": "296908487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CLUB CART RD",
            "city": "TRAVELERS REST",
            "state": "SC",
            "postal_code": "296908487",
            "telephone_number": "301-465-3139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORICI",
        "first_name": "KATHRYN",
        "name_prefix": "Dr.",
        "credential": "MD MPH CHCQM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-27",
        "last_updated": "2024-07-27",
        "certification_date": "2024-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "MD",
            "license": "D45267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "CLARK",
            "prefix": "DR.",
            "credential": "MD MPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nancy G Miller, CRNP-PMH
• Albert Charles Mina, MD
• Sharyn Moore
• Katherine Gosnell Morgan, PHARMD
• Regena Leeann Morgan, PHARMD
• Greg Moses, DDS
• New Horizon Family Health Services Inc
• New Horizon Family Health Services, Inc.
• Leo Joseph Newman, LPC
• Nghia Trong Nguyen, PHARM D.

• Public Health & General Preventive Medicine Physician in Travelers Rest, SC
• Providers in Travelers Rest, SC by specialty
• Public Health & General Preventive Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.