Healthcare Provider Details

I. General information

NPI: 1629462577
Provider Name (Legal Business Name): KEVIN DANIEL MORROW MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2015
Last Update Date: 01/19/2024
Certification Date: 08/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1180 N INDIAN CANYON DR STE W214
PALM SPRINGS CA
92262-4857
US

IV. Provider business mailing address

2020 GRAVIER ST 7TH FLOOR
NEW ORLEANS LA
70112-2272
US

V. Phone/Fax

Practice location:
  • Phone: 760-416-4545
  • Fax:
Mailing address:
  • Phone: 504-568-6120
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number308151
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberDR.0067938
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: