Provider Demographics
NPI:1619219656
Name:MORGAN, KERRIANNE
Entity Type:Individual
Prefix:
First Name:KERRIANNE
Middle Name:
Last Name:MORGAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KERRIANNE
Other - Middle Name:
Other - Last Name:O'KEEFE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:KERRIANNE O'KEEFE
Mailing Address - Street 1:2 MIDGE DR
Mailing Address - Street 2:
Mailing Address - City:WAPPINGERS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12590-5310
Mailing Address - Country:US
Mailing Address - Phone:845-863-5484
Mailing Address - Fax:
Practice Address - Street 1:2 MIDGE DR
Practice Address - Street 2:
Practice Address - City:WAPPINGERS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12590-5310
Practice Address - Country:US
Practice Address - Phone:845-863-5484
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-16
Last Update Date:2016-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist