MEDICARE: DR. KERI L MORGAN AUD

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	231H00000X	Audiologist	116741	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	173070	OTHER	MO	MO BLUE SHIELD

General Provider Information

NPI Number	:	1518006386
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KERI L MORGAN AUD

Provider Business Mailing Address
First Line	:	371 HUNT CLUB CIR
Second Line	:
City	:	GALENA
State	:	MO
Zip	:	65656-4826
Country	:	US
Telephone Number	:	417-209-9196
Fax Number	:

Provider Business Practice Location Address
First Line	:	371 HUNT CLUB CIR
Second Line	:
City	:	GALENA
State	:	MO
Zip	:	65656-4826
Country	:	US
Telephone Number	:	417-209-9196
Fax Number	:

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

Provider Enumeration Date	:	02/06/2007
Last Update Date	:	04/14/2022

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