Individual
MR. JEREMY DEAN MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
815 E PARRISH AVE, SUITE 460, OWENSBORO, KY 42303-3222
(270) 684-5005
(270) 926-4432
Mailing address
6401 BOSTON LAFFOON RD, PHILPOT, KY 42366-9314
(270) 684-5005
(270) 926-4432
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4174A
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74007501
—
KY
Enumeration date
06/02/2006
Last updated
02/22/2017
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