MEDICARE: MS. KAREN LYNN MOREHOUSE

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	171W00000X	Contractor

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	:	1629371646
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KAREN LYNN MOREHOUSE

Provider Business Mailing Address
First Line	:	2556 STONEVIEW RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32806-5076
Country	:	US
Telephone Number	:	407-227-3648
Fax Number	:	407-896-8743

Provider Business Practice Location Address
First Line	:	2556 STONEVIEW RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32806-5076
Country	:	US
Telephone Number	:	407-227-3648
Fax Number	:	407-896-8743

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

Provider Enumeration Date	:	12/14/2010
Last Update Date	:	12/14/2010

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