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NPI Code Detail

MEDICARE: DR. W. KENNETH MORGAN JR.

MEDICARE: DR. W. KENNETH MORGAN JR.
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
11223E0200XEndodontics5452NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700843406
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. W. KENNETH MORGAN JR.
Provider Business Mailing Address
First Line : 1602 BENJAMIN PKWY
Second Line :
City : GREENSBORO
State : NC
Zip : 27408-2015
Country : US
Telephone Number : 336-288-0010
Fax Number : 336-282-5754
Provider Business Practice Location Address
First Line : 1602 BENJAMIN PKWY
Second Line :
City : GREENSBORO
State : NC
Zip : 27408-2015
Country : US
Telephone Number : 336-288-0010
Fax Number : 336-282-5754
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2006
Last Update Date : 04/09/2014

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