MEDICARE: KENATA MORGAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2355S0801X	Speech-Language Assistant	35143	TX

General Provider Information

NPI Number	:	1104230424
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENATA MORGAN

Provider Business Mailing Address
First Line	:	1518 HIGH POINTE LN
Second Line	:
City	:	CEDAR HILL
State	:	TX
Zip	:	75104-4926
Country	:	US
Telephone Number	:	601-826-9757
Fax Number	:

Provider Business Practice Location Address
First Line	:	1518 HIGH POINTE LN
Second Line	:
City	:	CEDAR HILL
State	:	TX
Zip	:	75104-4926
Country	:	US
Telephone Number	:	601-826-9757
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2014
Last Update Date	:	06/13/2014

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Directions to “ KENATA MORGAN ” Practice Location

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