Healthcare Provider Details

I. General information

NPI: 1750380663
Provider Name (Legal Business Name): STEVEN KENNETH MORGAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2005
Last Update Date: 07/31/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 E TENNESSEE AVE
PINEVILLE KY
40977-1740
US

IV. Provider business mailing address

6801 DIXIE HWY SUITE 130
LOUISVILLE KY
40258-3913
US

V. Phone/Fax

Practice location:
  • Phone: 606-337-3123
  • Fax: 606-337-9449
Mailing address:
  • Phone: 606-337-3123
  • Fax: 606-337-9449

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number19612
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: