Provider Demographics
NPI:1063403525
Name:MORGAN, JANET EILEEN (MD)
Entity type:Individual
Prefix:DR
First Name:JANET
Middle Name:EILEEN
Last Name:MORGAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1520 E 23RD ST S
Mailing Address - Street 2:SUITE I
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MO
Mailing Address - Zip Code:64055-1657
Mailing Address - Country:US
Mailing Address - Phone:816-836-4740
Mailing Address - Fax:816-836-4745
Practice Address - Street 1:1520 E 23RD ST
Practice Address - Street 2:SUITE I
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64055-1657
Practice Address - Country:US
Practice Address - Phone:816-836-4740
Practice Address - Fax:816-836-4745
Is Sole Proprietor?:No
Enumeration Date:2005-11-03
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-21351207Q00000X
MO35847207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200592750AMedicaid
MO1063403525Medicaid
MOP09000003Medicare PIN
MO0004343Medicare PIN
MOC50384Medicare UPIN
KS200592750AMedicaid