Provider Demographics
NPI:1407476583
Name:KING, MORGAN LEE (PA-C)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:LEE
Last Name:KING
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:MORGAN
Other - Middle Name:
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1211 LUTHER ST
Mailing Address - Street 2:
Mailing Address - City:EADS
Mailing Address - State:CO
Mailing Address - Zip Code:81036
Mailing Address - Country:US
Mailing Address - Phone:719-438-2251
Mailing Address - Fax:719-438-2254
Practice Address - Street 1:1211 LUTHER ST
Practice Address - Street 2:
Practice Address - City:EADS
Practice Address - State:CO
Practice Address - Zip Code:81036
Practice Address - Country:US
Practice Address - Phone:443-690-3153
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-20
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant