Provider Demographics
NPI:1841281334
Name:MORRIS, KEITH E (MD)
Entity type:Individual
Prefix:DR
First Name:KEITH
Middle Name:E
Last Name:MORRIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 55073
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72215-5073
Mailing Address - Country:US
Mailing Address - Phone:501-664-7200
Mailing Address - Fax:501-664-7205
Practice Address - Street 1:212 NATURAL RESOURCES DR
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-1573
Practice Address - Country:US
Practice Address - Phone:501-664-7200
Practice Address - Fax:501-664-7205
Is Sole Proprietor?:No
Enumeration Date:2005-11-02
Last Update Date:2012-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-3487174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR149397001Medicaid
AR5M425OtherBCBS
AR5M425OtherBCBS
ARH81718Medicare UPIN