Individual
MR. KEVIN L MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1701 MOON ST NE, #100, ALBUQUERQUE, NM 87112
(505) 341-1010
Mailing address
1701 MOON ST NE, #100, ALBUQUERQUE, NM 87112
(505) 341-1010
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
426
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11325828
—
NM
01
—
P00700786
RAILROAD MEDICARE
—
Enumeration date
07/28/2006
Last updated
06/24/2009
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