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NPI 1215128178

NPI 1215128178 : KENT E MORRIS MD : LOUISVILLE, KY

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General NPI Number Information
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    NPI Number           |    1215128178
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    Entity Type          |    Individual 
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    Provider Name        |    KENT E MORRIS MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/06/2007
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    Last Update Date     |    07/12/2016
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Provider Practice Location Address
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    Address Line         |    6420 DUTCHMANS PKWY SUITE 200
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    City                 |    LOUISVILLE
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    State                |    KY
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    Zip                  |    40205-3372
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    Country              |    US
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    Telephone            |    502-891-8300
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    Fax                  |    502-891-8338
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Provider Business Mailing Address
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    Address Line         |    PO BOX 776351 
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    City                 |    CHICAGO
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    State                |    IL
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    Zip                  |    60677-6351
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    Country              |    US
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    Telephone            |    502-588-9490
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    Fax                  |    502-272-5116
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RC0000X
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    Taxonomy Name        |    Cardiovascular Disease Physician
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    License Number       |    TP324
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    License Number State |    KY
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Taxonomy #2
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    Taxonomy Code        |    207RC0001X
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    Taxonomy Name        |    Clinical Cardiac Electrophysiology Physician
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    License Number       |    43900
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    License Number State |    KY
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