Provider Demographics
NPI:1295151736
Name:MORGAN, KEITH (R EEG T)
Entity type:Individual
Prefix:
First Name:KEITH
Middle Name:
Last Name:MORGAN
Suffix:
Gender:M
Credentials:R EEG T
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:626 W MORELAND BLVD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:WAUKESHA
Mailing Address - State:WI
Mailing Address - Zip Code:53188-2433
Mailing Address - Country:US
Mailing Address - Phone:262-754-0898
Mailing Address - Fax:
Practice Address - Street 1:626 W MORELAND BLVD
Practice Address - Street 2:SUITE 2
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53188-2433
Practice Address - Country:US
Practice Address - Phone:262-754-0898
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-07
Last Update Date:2015-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0500XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherEEG