Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | TP324 | KY |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 43900 | KY |
NPI | 1215128178 |
---|---|
Provider Name | Kent E Morris |
First Address | Chicago, IL 60677-6351 |
Second Address | Louisville, KY 40205-3372 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2007 |
Last Update Date | 12/07/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000693037 | ANTHEM- CARDIOTHORACIC SURGERY OF LOUISVILLE (01) | KY |
000057080M | HUMANA- CARDIOTHORACIC SURGERY OF LOUISVILLE (01) | KY |
50031908 | PASSPORT- CTS (01) | KY |
7100129610 | (05) | KY |
P00893017 | RAILROAD MEDICARE- CTS (01) | KY |
P400031835 | (02) | KY |