MEDICARE: KENDRIQUE MORGAN DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT7336	MS
2	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1548993074
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENDRIQUE MORGAN DPT

Provider Business Mailing Address
First Line	:	701 ANTHONY ST
Second Line	:
City	:	PORT GIBSON
State	:	MS
Zip	:	39150-2053
Country	:	US
Telephone Number	:	601-994-3538
Fax Number	:	601-448-0234

Provider Business Practice Location Address
First Line	:	701 ANTHONY ST
Second Line	:
City	:	PORT GIBSON
State	:	MS
Zip	:	39150-2053
Country	:	US
Telephone Number	:	601-994-3548
Fax Number	:	601-448-0234

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/01/2022
Last Update Date	:	01/05/2026

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Directions to “ KENDRIQUE MORGAN DPT” Practice Location

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