MEDICARE: KENNETH MORRIS MS PA

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	106H00000X	Marriage & Family Therapist	MT1298	FL
2	101YM0800X	Mental Health Counselor	MH1967	FL

General Provider Information

NPI Number	:	1871586230
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENNETH MORRIS MS PA

Provider Business Mailing Address
First Line	:	2689 CHAPMAN DR
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32405-4918
Country	:	US
Telephone Number	:	850-215-3088
Fax Number	:	850-215-3188

Provider Business Practice Location Address
First Line	:	2689 CHAPMAN DR
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32405-4918
Country	:	US
Telephone Number	:	850-215-3088
Fax Number	:	850-215-3188

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

Provider Enumeration Date	:	08/31/2005
Last Update Date	:	01/27/2026

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Directions to “ KENNETH MORRIS MS PA” Practice Location

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