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Kelly Marie Morris

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

451 Clarkson Ave, Brooklyn, NY 11203-2057

PECOS Enrollment

This provider is enrolled in PECOS as KELLY MORRIS.

Based on the most recent information from CMS, provider Kelly Marie Morris is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1629176847
Provider Type
Individual
Full Name
Morris, Kelly Marie
Title
Mrs.
Credential
FNP

Gender
Female
Sole Proprietor
No
Enumeration Date
9/20/2006
Last Updated
7/8/2007

Contact Information

Practice Location

451 Clarkson Ave, Brooklyn, NY 11203-2057

(347) 693-1577

Unlisted Fax

Mailing Location

2718 Albemarle Rd, Brooklyn, NY 11226-5038

(347) 693-1577

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License F334792 New York

Kelly Marie Morris

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Sooppersaud-Bacchus, Vanishree

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Mpeters Np In Family Health Pc

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Irving-Brantley, Aquina

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Mclaughlin, Julieth Faye

Fraser-Johnson, Jennelyn Velma

Shepherd, Latasha Patrina