Provider Demographics
NPI:1386300606
Name:MCMORRIS, KEMAR DORAN
Entity type:Individual
Prefix:MR
First Name:KEMAR
Middle Name:DORAN
Last Name:MCMORRIS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 PINEHURST CIR APT 1015
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32407-0256
Mailing Address - Country:US
Mailing Address - Phone:954-716-0736
Mailing Address - Fax:
Practice Address - Street 1:1000 PINEHURST CIR APT 1015
Practice Address - Street 2:
Practice Address - City:PANAMA CITY BEACH
Practice Address - State:FL
Practice Address - Zip Code:32407-0256
Practice Address - Country:US
Practice Address - Phone:954-716-0736
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-10
Last Update Date:2021-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide