Healthcare Provider Details

I. General information

NPI: 1811981244
Provider Name (Legal Business Name): SETH A MORGAN PA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2005
Last Update Date: 03/05/2025
Certification Date: 03/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 CAMBRIDGE ST # MS 3017
KANSAS CITY KS
66160-3105
US

IV. Provider business mailing address

4000 CAMBRIDGE ST # MS 3017
KANSAS CITY KS
66160-8501
US

V. Phone/Fax

Practice location:
  • Phone: 913-588-6164
  • Fax:
Mailing address:
  • Phone: 913-588-8263
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number1501007
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number2016038179
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: