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General NPI Number Information
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NPI Number | 1700590049
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Entity Type | Organization
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Legal Business Name | KELLIE M MORRIS DO INC
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Dates
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Enumeration Date | 01/11/2023
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Last Update Date | 01/11/2023
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Provider Practice Location Address
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Address Line | 27882 FORBES RD STE 203
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92677-1267
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Country | US
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Telephone | 949-347-2400
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Fax | 949-347-2424
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Provider Business Mailing Address
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Address Line | PO BOX 25033
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City | SANTA ANA
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State | CA
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Zip | 92799-5033
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Country | US
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Telephone | 714-347-1000
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Fax | 714-347-1082
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KELLIE MARIE MORRIS
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Credential | DO
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Telephone | 714-366-7972
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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