MEDICARE: KATHLEEN CLAIRE MORRIS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	012728	ME

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	E400170161	OTHER	ME	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649230269
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHLEEN CLAIRE MORRIS MD

Provider Business Mailing Address
First Line	:	462 MAIN ST
Second Line	:	SUITE 1
City	:	SPRINGVALE
State	:	ME
Zip	:	04083-1818
Country	:	US
Telephone Number	:	207-206-7270
Fax Number	:	207-206-7268

Provider Business Practice Location Address
First Line	:	462 MAIN ST
Second Line	:	SUITE 1
City	:	SPRINGVALE
State	:	ME
Zip	:	04083-1818
Country	:	US
Telephone Number	:	207-206-7270
Fax Number	:	207-206-7268

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2006
Last Update Date	:	04/17/2015

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