Provider Demographics
NPI:1619910262
Name:MORRIS, KEVIN ASHLEY (DC)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:ASHLEY
Last Name:MORRIS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:722 NORTH FRASER STREET
Mailing Address - Street 2:SUIT A
Mailing Address - City:GEORGETOWN
Mailing Address - State:SC
Mailing Address - Zip Code:29440
Mailing Address - Country:US
Mailing Address - Phone:843-527-4200
Mailing Address - Fax:843-527-4222
Practice Address - Street 1:303 E MAIN ST STE A
Practice Address - Street 2:
Practice Address - City:KINGSTREE
Practice Address - State:SC
Practice Address - Zip Code:29556-3512
Practice Address - Country:US
Practice Address - Phone:843-355-5131
Practice Address - Fax:843-355-5137
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-13
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2644111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
U89062Medicare UPIN
8466Medicare ID - Type Unspecified