MEDICARE: KEVIN MORGAN FNP

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	363LF0000X	Family Nurse Practitioner	758246	TX

General Provider Information

NPI Number	:	1518399393
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEVIN MORGAN FNP

Provider Business Mailing Address
First Line	:	1003 NEDERLAND AVE
Second Line	:
City	:	NEDERLAND
State	:	TX
Zip	:	77627-2832
Country	:	US
Telephone Number	:	409-221-8294
Fax Number	:	409-344-9592

Provider Business Practice Location Address
First Line	:	3717 ROYAL MEADOWS ST
Second Line	:
City	:	PORT ARTHUR
State	:	TX
Zip	:	77642-6869
Country	:	US
Telephone Number	:	409-722-0600
Fax Number	:	409-724-1928

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

Provider Enumeration Date	:	08/05/2013
Last Update Date	:	07/23/2015

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