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Individual

RONALD MORRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3119 CENTRAL ST APT A, KANSAS CITY, MO 64111-1359
(915) 494-0802
Mailing address
3119 CENTRAL ST APT A, KANSAS CITY, MO 64111-1359
(915) 494-0802

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2012016605
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2012016605
MEDICARE
MO
Enumeration date
01/15/2013
Last updated
01/15/2013
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