Provider Demographics
NPI:1518006386
Name:MORGAN, KERI L (AUD)
Entity Type:Individual
Prefix:DR
First Name:KERI
Middle Name:L
Last Name:MORGAN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:371 HUNT CLUB CIR
Mailing Address - Street 2:
Mailing Address - City:GALENA
Mailing Address - State:MO
Mailing Address - Zip Code:65656-4826
Mailing Address - Country:US
Mailing Address - Phone:417-209-9196
Mailing Address - Fax:
Practice Address - Street 1:371 HUNT CLUB CIR
Practice Address - Street 2:
Practice Address - City:GALENA
Practice Address - State:MO
Practice Address - Zip Code:65656-4826
Practice Address - Country:US
Practice Address - Phone:417-209-9196
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2022-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO116741231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO335966214Medicaid
MO173070OtherMO BLUE SHIELD