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NPI Code Detail

MEDICARE: DR. KRISTY MICHELLE MORGAN D.C

MEDICARE: DR. KRISTY MICHELLE MORGAN D.C
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
1111N00000XChiropractorDC009240PA
2111N00000XChiropractor8050AZ
3111NR0400XRehabilitation Chiropractor4707AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20082072S1KOTHERPAPROVIDER ID

General Provider Information

NPI Number : 1912972696
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KRISTY MICHELLE MORGAN D.C
Provider Business Mailing Address
First Line : PO BOX 2954
Second Line :
City : PHOENIX
State : AZ
Zip : 85062-2954
Country : US
Telephone Number : 602-889-5833
Fax Number : 602-889-5834
Provider Business Practice Location Address
First Line : 12409 W INDIAN SCHOOL RD STE B210
Second Line :
City : AVONDALE
State : AZ
Zip : 85392-9505
Country : US
Telephone Number : 623-935-9920
Fax Number : 623-935-9925
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2006
Last Update Date : 08/03/2011

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