Kelly Nicole Morales (NPI# 1306132881, PAC ID# 3971750563) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1306132881 |
| PAC ID by PECOS | 3971750563 |
| Professional Enrollment ID | I20141205002027 |
| Full Name | Kelly Nicole Morales |
| Organization Legal Name | FETTER HEALTH CARE NETWORK, INC. |
| Address |
3627 Maybank Hwy Johns Island SC 29455-4825 |
| Phone Number | 8436280284 |
| Gender | F |
| Medical School | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9032215199 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420065 | BON SECOURS-ST FRANCIS XAVIER HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 51 Nassau St, Charleston, SC 29403-5513 | 8437224112 | FETTER HEALTH CARE NETWORK, INC. |
| 5225 Hwy 165, Hollywood, SC 29449-6144 | 8438892272 | FETTER HEALTH CARE NETWORK, INC. |
| 3627 Maybank Hwy, Johns Island, SC 29455-4825 | 8436280284 | FETTER HEALTH CARE NETWORK, INC. |
| Organization Legal Name | FETTER HEALTH CARE NETWORK, INC. |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lorie Jolly | Clinical Social Worker | Fetter Health Care Network, Inc. | 51 Nassau St, Charleston, SC 29403-5513 |
| Dana J Laforte | Nurse Practitioner | Fetter Health Care Network, Inc. | 35 Walnut St, Charleston, SC 29403-4514 |
| Richette Deas | Nurse Practitioner | Fetter Health Care Network, Inc. | 700 Rutledge Ave, Charleston, SC 29403-4145 |
| Glenda Williams | Nurse Practitioner | Fetter Health Care Network, Inc. | 51 Nassau St, Charleston, SC 29403-5513 |
| Kay E Berland | Nurse Practitioner | Fetter Health Care Network, Inc. | 302 Medical Park Dr, Walterboro, SC 29488-5747 |
| Anthony D Poole | Physician Assistant | Fetter Health Care Network, Inc. | 51 Nassau St, Charleston, SC 29403-5513 |
| Larry L Wilson | Obstetrics/gynecology | Fetter Health Care Network, Inc. | 35 Walnut St, Charleston, SC 29403-4514 |
| Kareemah M Stepney | Clinical Social Worker | Fetter Health Care Network, Inc. | 51 Nassau St, Charleston, SC 29403-5513 |
| Matthew Lawrence Gilbert | Physician Assistant | Fetter Health Care Network, Inc. | 51 Nassau St, Charleston, SC 29403-5513 |
| Patricia D Porter | Nurse Practitioner | Fetter Health Care Network, Inc. | 35 Walnut St, Charleston, SC 29403-4514 |
| Street Address |
3627 MAYBANK HWY |
| City | JOHNS ISLAND |
| State | SC |
| Zip | 29455-4825 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dixie Barkand | Qualified Speech Language Pathologist | 3627 Maybank Hwy, Johns Island, SC 29455-4825 | |
| Suzanne Starkey | Physical Therapy | Fox Rehabilitation Services of South Carolina LLC | 3627 Maybank Hwy, Johns Island, SC 29455-4825 |
| Cortney Whitaker | Speech Language Pathologist | Fox Rehabilitation Services of South Carolina LLC | 3627 Maybank Hwy, Johns Island, SC 29455-4825 |
| Megan L Stock | Speech Language Pathologist | Fox Rehabilitation Services of South Carolina LLC | 3627 Maybank Hwy, Johns Island, SC 29455-4825 |
| Michelle Margaret Geers | Speech Language Pathologist | Fox Rehabilitation Services of South Carolina LLC | 3627 Maybank Hwy, Johns Island, SC 29455-4825 |
| Donna Larue | Physical Therapy | Fox Rehabilitation Services of South Carolina LLC | 3627 Maybank Hwy, Johns Island, SC 29455-4825 |
| Lynn Dusault | Physical Therapy | Fox Rehabilitation Services of South Carolina LLC | 3627 Maybank Hwy, Johns Island, SC 29455-4825 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacqueline Leonora Baer | Nurse Practitioner | 1816 Bohicket Rd, Ste. F, Johns Island, SC 29455-0336 | |
| Andrea Marie Styron | Physical Therapy | Island P.t.,llc | 1797 Main Rd, Johns Island, SC 29455-3447 |
| Elizabeth J Harkness | Physical Therapy | Island P.t.,llc | 1797 Main Rd, Johns Island, SC 29455-3447 |
| Heather Leigh Hadley | Physical Therapy | Island P.t.,llc | 1797 Main Rd, Johns Island, SC 29455-3447 |
| Jason Sessions | Chiropractic | 1797 Main Rd, Johns Island, SC 29455-3447 | |
| Robert Joseph Greco | Clinical Social Worker | 4244 Haulover Dr, Johns Island, SC 29455-4116 | |
| Paul Bohac | Optometry | 2875 Maybank Hwy, Johns Island, SC 29455-4808 | |
| Michael Warren | Dermatology | 3312 Maybank Hwy B, Johns Island, SC 29455-4818 | |
| David Wayne Seignious | Internal Medicine | 3312 Maybank Hwy, Suite A, Johns Island, SC 29455-4818 | |
| Lindsey C Johnson | Nurse Practitioner | John E Emmel Md PC | 3647 Maybank Hwy, Johns Island, SC 29455-4825 |
| Find all physicians in zip 29455 | |||
| City | JOHNS ISLAND |
| Zip Code | 29455 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | JOHNS ISLAND + FAMILY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.