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NPI Code Detail

MEDICARE: KELSIE MORGAN PA

MEDICARE: KELSIE MORGAN PA
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
1363A00000XPhysician Assistant1838NE

General Provider Information

NPI Number : 1184031015
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELSIE MORGAN PA
Provider Business Mailing Address
First Line : 8550 CUTHILLS CIR
Second Line : SUITE100
City : LINCOLN
State : NE
Zip : 68526-9474
Country : US
Telephone Number : 402-476-6060
Fax Number : 402-476-6809
Provider Business Practice Location Address
First Line : 8550 CUTHILLS CIR
Second Line : SUITE100
City : LINCOLN
State : NE
Zip : 68526-9474
Country : US
Telephone Number : 402-476-6060
Fax Number : 402-476-6809
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2014
Last Update Date : 07/11/2014

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Directions to “ KELSIE MORGAN PA” Practice Location

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