Healthcare Provider Details

I. General information

NPI: 1588769608
Provider Name (Legal Business Name): KUTTEH KE FERTILITY ASSOCIATES OF MEMPHIS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 HUMPHREYS CTR SUITE 307
MEMPHIS TN
38120-2353
US

IV. Provider business mailing address

80 HUMPHREYS CTR SUITE 307
MEMPHIS TN
38120-2353
US

V. Phone/Fax

Practice location:
  • Phone: 901-747-2229
  • Fax: 901-747-4446
Mailing address:
  • Phone: 901-747-2229
  • Fax: 901-747-4446

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number
License Number State

VIII. Authorized Official

Name: CANDICE ANN MORGAN
Title or Position: PRACTICE ADMINISTRATOR
Credential:
Phone: 901-747-2229