Provider Demographics
NPI:1932104767
Name:MORTON, STEVEN E (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:E
Last Name:MORTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1419 CUMBERLAND FALLS HWY
Mailing Address - Street 2:
Mailing Address - City:CORBIN
Mailing Address - State:KY
Mailing Address - Zip Code:40701-2722
Mailing Address - Country:US
Mailing Address - Phone:606-528-4481
Mailing Address - Fax:606-528-2857
Practice Address - Street 1:1419 CUMBERLAND FALLS HWY
Practice Address - Street 2:
Practice Address - City:CORBIN
Practice Address - State:KY
Practice Address - Zip Code:40701-2722
Practice Address - Country:US
Practice Address - Phone:606-528-4481
Practice Address - Fax:606-528-2857
Is Sole Proprietor?:No
Enumeration Date:2005-06-17
Last Update Date:2018-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY32248207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY65936817OtherGROUP MEDICAID FOR PRACTICE
KY64012610Medicaid
KY65936817Medicaid