Healthcare Provider Details

I. General information

NPI: 1275469652
Provider Name (Legal Business Name): KEVIN MORRIS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3915 SATINWOOD DR
TOLEDO OH
43623-3345
US

IV. Provider business mailing address

3915 SATINWOOD DR
TOLEDO OH
43623-3345
US

V. Phone/Fax

Practice location:
  • Phone: 419-303-5466
  • Fax:
Mailing address:
  • Phone: 419-303-5466
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License NumberRN.381752
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: