Provider Demographics
NPI:1407080443
Name:SCHULZ, MORGAN D (MD)
Entity Type:Individual
Prefix:DR
First Name:MORGAN
Middle Name:D
Last Name:SCHULZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MORGAN
Other - Middle Name:D
Other - Last Name:SCHULZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:483 HWY 194
Mailing Address - Street 2:
Mailing Address - City:PRESTONSBURG
Mailing Address - State:KY
Mailing Address - Zip Code:40653
Mailing Address - Country:US
Mailing Address - Phone:859-893-1601
Mailing Address - Fax:
Practice Address - Street 1:153 W TOM T HALL BLVD
Practice Address - Street 2:
Practice Address - City:OLIVE HILL
Practice Address - State:KY
Practice Address - Zip Code:41164-5801
Practice Address - Country:US
Practice Address - Phone:606-898-3982
Practice Address - Fax:617-730-2853
Is Sole Proprietor?:No
Enumeration Date:2009-05-05
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA238244208600000X
KY47557208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No208600000XAllopathic & Osteopathic PhysiciansSurgery