Physician Compare National (NPI:1649457326)

HEALTHCARE PROVIDER: KENNETH LAURENCE MORTON M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1649457326
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9830272616
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080218000189
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MORTON
	Individual professional last name
Provider First Name	KENNETH
	Individual professional first name
Provider Middle Name	L P
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1983
	Individual professional's medical school graduation year
Primary Specialty	OPHTHALMOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	9 LAKE BELLEVUE DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 105
	Group Practice or individual's line 2 address
City	BELLEVUE
	Group Practice or individual's city
State	WA
	Group Practice or individual's state
Zip Code	980052454
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	500051
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	OVERLAKE HOSPITAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y