Provider Demographics
NPI:1750380663
Name:MORGAN, STEVEN KENNETH (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:KENNETH
Last Name:MORGAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6801 DIXIE HWY
Mailing Address - Street 2:SUITE 130
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40258-3913
Mailing Address - Country:US
Mailing Address - Phone:606-337-3123
Mailing Address - Fax:606-337-9449
Practice Address - Street 1:222 E TENNESSEE AVE
Practice Address - Street 2:
Practice Address - City:PINEVILLE
Practice Address - State:KY
Practice Address - Zip Code:40977-1740
Practice Address - Country:US
Practice Address - Phone:606-337-3123
Practice Address - Fax:606-337-9449
Is Sole Proprietor?:No
Enumeration Date:2005-07-21
Last Update Date:2014-07-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY19612207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64196124Medicaid
KY0293802Medicare ID - Type Unspecified
KY64196124Medicaid
KYK139921Medicare PIN