Provider Demographics
NPI:1376365130
Name:KILPATRICK, MORGAN (OTR/L, CNS)
Entity type:Individual
Prefix:MS
First Name:MORGAN
Middle Name:
Last Name:KILPATRICK
Suffix:
Gender:F
Credentials:OTR/L, CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:936 MONROVIA ST
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71106-1128
Mailing Address - Country:US
Mailing Address - Phone:318-990-0613
Mailing Address - Fax:
Practice Address - Street 1:936 MONROVIA ST
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71106-1128
Practice Address - Country:US
Practice Address - Phone:318-990-0613
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-31
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA329137225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist