Healthcare Provider Details

I. General information

NPI: 1407135460
Provider Name (Legal Business Name): JAMES THOMAS MORTON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2011
Last Update Date: 08/09/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

627 W FOURTH ST
LEXINGTON KY
40508-1207
US

IV. Provider business mailing address

627 W FOURTH ST
LEXINGTON KY
40508-1207
US

V. Phone/Fax

Practice location:
  • Phone: 859-246-7000
  • Fax: 859-243-7023
Mailing address:
  • Phone: 859-246-7000
  • Fax: 859-243-7023

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number26045
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: