Provider Information for 1073324653
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KAITLIN MORRIS
Sex: Female
NPI: 1073324653
Last Updated: 2025-01-14
Certification Date: 2025-01-14
Certification Date: 2025-01-14
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1073324653 | ||||||||
| Enumeration Date | 2025-01-14 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1817 BERRYVILLE PIKE CHARLES TOWN, WV 25414-5686 United States Phone: 434-426-5871 | Fax: | ||||||||
| Primary Practice Address | 1817 BERRYVILLE PIKE CHARLES TOWN, WV 25414-5686 United States Phone: 434-401-2913 | Fax: | ||||||||
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