Individual
KELLY MORRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1865 TAMARACK RD, NEWARK, OH 43055-2305
(220) 564-4940
(220) 564-4931
Mailing address
1865 TAMARACK RD, NEWARK, OH 43055-2305
(220) 564-4940
(220) 564-4931
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
COA-06589-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2262742
—
OH
Enumeration date
07/15/2006
Last updated
03/18/2021
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