Provider Demographics
NPI:1891062568
Name:MORGAN, KRISTIN J (DC)
Entity Type:Individual
Prefix:DR
First Name:KRISTIN
Middle Name:J
Last Name:MORGAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:4220 LUCILE DRIVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-6004
Mailing Address - Country:US
Mailing Address - Phone:402-421-1411
Mailing Address - Fax:402-421-1412
Practice Address - Street 1:4220 LUCILE DR.
Practice Address - Street 2:SUITE 2
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-6004
Practice Address - Country:US
Practice Address - Phone:402-421-1411
Practice Address - Fax:402-421-1412
Is Sole Proprietor?:No
Enumeration Date:2011-11-24
Last Update Date:2023-03-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NE1698111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE1002651400Medicaid