Provider Demographics
NPI:1285637454
Name:MORTE, PAUL D (DO)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:D
Last Name:MORTE
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Gender:M
Credentials:DO
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Mailing Address - Street 1:1112 W 6TH ST
Mailing Address - Street 2:STE 218
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66044-2249
Mailing Address - Country:US
Mailing Address - Phone:785-842-8240
Mailing Address - Fax:785-842-7474
Practice Address - Street 1:1112 W 6TH ST
Practice Address - Street 2:STE 218
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66044-2249
Practice Address - Country:US
Practice Address - Phone:785-842-8240
Practice Address - Fax:785-842-7474
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-05-23
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KSKA05-260822084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSG29624Medicare UPIN