Morris, Kenneth Lee

Morris, Kenneth Lee is an sole proprietor health care provider with primary practice located at 4151 Memorial Dr Ste 107C , Decatur GA 30032-1517. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Morris, Kenneth Lee can be contacted via phone (404) 508-9141.

Contact Information

Primary practice address
4151 Memorial Dr Ste 107C Decatur GA 30032-1517
Fax: (770) 498-2778
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1538623442
LBN Legal business name Morris, Kenneth Lee
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2019
Last updated Jan 24th, 2019 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538623442 NPPES
Georgia MEDICAID 15551768

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