Individual
DR. KIMBERLY YVETTE MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., HSPP
Contact information
Practice address
1907 W SYCAMORE ST, KOKOMO, IN 46901
(765) 456-5900
Mailing address
10330 N MERIDIAN ST # 300, INDIANAPOLIS, IN 46290-1024
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
20042072A
IN
103TC0700X
Clinical Psychologist
Primary
20042072A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000386774
ANTHEM BX/BS ID NUMBER
IN
01
—
11548839
CAQH ID NUMBER
IN
01
—
2172863
VALUE OPTIONS ID NUMBER
IN
01
—
MORRI-2007
COMPCARE ID NUMBER
IN
Enumeration date
07/27/2006
Last updated
05/24/2018
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