Individual
MR. KENRICK MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1933 UNION ST APT 5G, BROOKLYN, NY 11233-5265
(347) 543-6315
Mailing address
1933 UNION ST APT 5G, BROOKLYN, NY 11233-5265
(347) 543-6315
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
296114808
NY
Other
Enumeration date
09/01/2015
Last updated
09/01/2015
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