Individual
SHANDA L. J. MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
230 FOUNTAIN CT STE 260, LEXINGTON, KY 40509-1897
(859) 264-0660
(859) 264-0662
Mailing address
784 HIGHWAY 36, FRENCHBURG, KY 40322-8123
(859) 498-3333
(859) 498-3332
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32513
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000051565
ANTHEM
KY
05
—
64325129
—
KY
01
—
9065
MEDICARE GROUP NUMBER
KY
Enumeration date
06/12/2006
Last updated
07/05/2022
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