Organization
KMKG ANESTHESIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY KEITH MORTON MD (PRESIDENT)
(205) 387-4741
Entity
Organization
Contact information
Practice address
3400 HIGHWAY 78 E, JASPER, AL 35501-8907
(205) 387-4741
(205) 221-5474
Mailing address
PO BOX 1427, JASPER, AL 35502-1427
(205) 221-5454
(205) 221-5474
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
AL
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
—
AL
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
AL
367500000X
Certified Registered Nurse Anesthetist
Primary
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
99999999
RAILROAD MEDICARE
AL
Enumeration date
12/27/2006
Last updated
09/11/2025
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