Morris, Kelly
Morris, Kelly is an sole proprietor health care provider with primary practice located at 1600 St Julian Place , Columbia SC 29204. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is her primary health care specialty. Morris, Kelly can be contacted via phone (803) 748-9994.Contact Information
Primary practice address
1600 St Julian Place
Columbia SC 29204
Phone: (803) 748-9994
Fax: (803) 748-1103
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | SC21911 | South Carolina |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 21911 | South Carolina |
Profile Details
| NPI number | 1538169800 |
|---|---|
| LBN Legal business name | Morris, Kelly |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 28th, 2005 |
| Last updated | Mar 4th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538169800 | NPPES |
| South Carolina | Other | 1538169800 | INDIVIDUAL NPI ENUMERATOR |
| South Carolina | MEDICAID | T61885 GP3770 | INDIVIDUAL NPI ENUMERATOR |
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