Healthcare Provider Details

I. General information

NPI: 1760925283
Provider Name (Legal Business Name): KIMBERLY C MORRIS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2016
Last Update Date: 12/01/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 WAYCROSS RD
CINCINNATI OH
45240-3129
US

IV. Provider business mailing address

9149 NORFOLK DR
CINCINNATI OH
45231-2944
US

V. Phone/Fax

Practice location:
  • Phone: 513-766-5345
  • Fax: 513-619-2451
Mailing address:
  • Phone: 513-207-9679
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number402215
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: