MEDICARE: KRISTOPHER MORRIS HAS

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	237700000X	Hearing Instrument Specialist	HAS0751	SC

Other Identifiers

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

General Provider Information

NPI Number	:	1386397628
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTOPHER MORRIS HAS

Provider Business Mailing Address
First Line	:	638 N FERDON BLVD STE 2
Second Line	:
City	:	CRESTVIEW
State	:	FL
Zip	:	32536-2170
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5913 N KINGS HWY
Second Line	:
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29577-2329
Country	:	US
Telephone Number	:	843-497-6165
Fax Number	:

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

Provider Enumeration Date	:	01/27/2022
Last Update Date	:	09/24/2024

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