Provider Demographics
NPI:1447321161
Name:MORGAN, K. LEA (DC)
Entity type:Individual
Prefix:DR
First Name:K. LEA
Middle Name:
Last Name:MORGAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 ALLENGATE AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-2891
Mailing Address - Country:US
Mailing Address - Phone:413-499-0111
Mailing Address - Fax:
Practice Address - Street 1:25 ONTARIO ST
Practice Address - Street 2:SUITE 1A
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-5620
Practice Address - Country:US
Practice Address - Phone:413-499-0111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2184111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY36524OtherBLUE CROSS BLUE SHIELD
MAMOY45154Medicare ID - Type Unspecified