Provider Demographics
NPI:1437267531
Name:MORGAN, KRISTEN M (DC)
Entity Type:Individual
Prefix:DR
First Name:KRISTEN
Middle Name:M
Last Name:MORGAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:431 BROWNELL AVE.
Mailing Address - Street 2:
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02740
Mailing Address - Country:US
Mailing Address - Phone:508-999-2111
Mailing Address - Fax:508-999-2119
Practice Address - Street 1:431 BROWNELL AVE
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740-1613
Practice Address - Country:US
Practice Address - Phone:508-999-2111
Practice Address - Fax:508-999-2119
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-28
Last Update Date:2017-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2376111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
1115500OtherAETNA
MA04293OtherNEIGHBORHOOD HEALTH PLAN
RI27757OtherBCBS
7171844OtherCIGNA
MAY36755OtherBCBS
MA1699962Medicaid
351381OtherHPHC
486871OtherTUFTS
MA000000110970OtherBMC HEALTHNET
4400780OtherUNITED HEALTH CARE