Individual
KENNETH LEE MORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4151 MEMORIAL DR STE 107C, DECATUR, GA 30032-1517
(404) 508-9141
(770) 498-2778
Mailing address
4151 MEMORIAL DR STE 107C, DECATUR, GA 30032-1517
(404) 508-4191
(774) 498-2778
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15551768
—
GA
Enumeration date
01/24/2019
Last updated
01/24/2019
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