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Individual

KEVIN L MORRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
3202 COLBY AVE, SUITE E, EVERETT, WA 98201-4324
(425) 259-0855
Mailing address
616 N.CHELAN AVE, WENATCHEE, WA 98801-2025
(509) 662-2970
(509) 665-9808

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO00000436
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0102556
LABOR AND INDUSTRY
WA
05
1060094
WA
01
P00062974
RAILROAD MEDICARE
01
PO00000436
STATE LICENSE NUMBER
WA
Enumeration date
06/08/2006
Last updated
11/09/2015
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