Individual
MS. KELLY CHRISTINE MORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
324 PARK AVE, WEST MILTON, OH 45383-1718
(937) 301-9034
Mailing address
33 S MAIN ST, WEST MILTON, OH 45383-1808
(937) 301-9034
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
SM224148
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
256-8805
INDEPENDANT PROVIDER
OH
Enumeration date
05/22/2007
Last updated
07/08/2007
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