Provider Demographics
NPI:1568747574
Name:MORGAN, THOMAS LEE JR
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:LEE
Last Name:MORGAN
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8539 KESSLER ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66212-3540
Mailing Address - Country:US
Mailing Address - Phone:913-385-0670
Mailing Address - Fax:
Practice Address - Street 1:8539 KESSLER ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212-3540
Practice Address - Country:US
Practice Address - Phone:913-385-0670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-21
Last Update Date:2011-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide