Provider Demographics
NPI:1114141884
Name:MORRISON, KRIS A (DC)
Entity Type:Individual
Prefix:
First Name:KRIS
Middle Name:A
Last Name:MORRISON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 N 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:CO
Mailing Address - Zip Code:80751-2901
Mailing Address - Country:US
Mailing Address - Phone:970-521-7200
Mailing Address - Fax:970-521-7201
Practice Address - Street 1:131 N 6TH AVE
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:CO
Practice Address - Zip Code:80751-2901
Practice Address - Country:US
Practice Address - Phone:970-521-7200
Practice Address - Fax:970-521-7201
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2013-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5510111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC803508Medicare ID - Type Unspecified
COP00266635Medicare ID - Type UnspecifiedRAILROAD MEDICARE
COV06754Medicare UPIN