Organization
SHANDA L J MORRIS MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANDA L MORRIS MD (OWNER)
(859) 744-0032
Entity
Organization
Contact information
Practice address
1120 MCCANN DR, WINCHESTER, KY 40391-1157
(859) 744-0032
(859) 744-0154
Mailing address
1120 MCCANN DR, WINCHESTER, KY 40391-1157
(859) 744-0032
(859) 744-0154
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000051565
ANTHEM-SM
KY
01
—
000000311801
ANTHEM-MA
KY
Enumeration date
03/09/2007
Last updated
09/28/2012
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