Organization
KMM HEALTH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTY M MORGAN DC (OWNER)
(602) 674-5515
Entity
Organization
Contact information
Practice address
10046 N METRO PKWY W STE 115, PHOENIX, AZ 85051-1411
(602) 674-5515
Mailing address
PO BOX 60363, PHOENIX, AZ 85082-0363
(602) 889-5833
(602) 889-5834
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/28/2012
Last updated
09/10/2012
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