Provider Demographics
NPI:1356775845
Name:STUPKA, MORGAN ANNA (DC)
Entity type:Individual
Prefix:DR
First Name:MORGAN
Middle Name:ANNA
Last Name:STUPKA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:MORGAN
Other - Middle Name:ANNA
Other - Last Name:SCHOELING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:114 W EUCLID ST
Mailing Address - Street 2:
Mailing Address - City:MCPHERSON
Mailing Address - State:KS
Mailing Address - Zip Code:67460-4206
Mailing Address - Country:US
Mailing Address - Phone:620-504-6677
Mailing Address - Fax:
Practice Address - Street 1:114 W EUCLID ST
Practice Address - Street 2:
Practice Address - City:MCPHERSON
Practice Address - State:KS
Practice Address - Zip Code:67460-4206
Practice Address - Country:US
Practice Address - Phone:620-504-6677
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-03
Last Update Date:2018-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-05569111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor