Individual
KENNETH C MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, CMTPT
Contact information
Practice address
12494 WARWICK BLVD, NEWPORT NEWS, VA 23606-3000
(757) 599-5551
(757) 595-5238
Mailing address
PO BOX 69030, BALTIMORE, MD 21264-9030
(757) 873-2302
(757) 873-2306
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305205585
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174789713
—
VA
01
—
192931
BCBS PHYSICAL THERAPY
VA
01
—
9869210
AETNA
VA
01
—
P00637360
RAILROAD MEDICARE
VA
Enumeration date
08/04/2008
Last updated
04/27/2018
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