Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 34014 | KY |
Y | 2080P0214X | Pediatric Pulmonologist | 34014 | KY |
NPI | 1477537405 |
---|---|
Provider Name | Ronald Lee Morton |
First Address | Louisville, KY 40201-0909 |
Second Address | Louisville, KY 40202-3906 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/12/2005 |
Last Update Date | 26/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200193550 | (05) | IN |
64340144 | (05) | KY |
G35547 | (02) |