Individual
KATHERYN CARMICHAEL MORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1821 E HIGH ST, SPRINGFIELD, OH 45505-1225
(937) 323-7340
(937) 323-3363
Mailing address
1821 E HIGH ST, SPRINGFIELD, OH 45505-1225
(937) 323-7340
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-159833
AL
363L00000X
Nurse Practitioner
1105885
TX
363LW0102X
Women's Health Nurse Practitioner
Primary
CNP.0027375
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000001638056
ANTHEM
OH
05
—
0479977
—
OH
01
—
2210400468
CARESOURCE
OH
Enumeration date
04/27/2019
Last updated
11/08/2023
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