Provider Demographics
NPI:1104006121
Name:MORTON, KELL (DC)
Entity type:Individual
Prefix:DR
First Name:KELL
Middle Name:
Last Name:MORTON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:732 N 19TH ST
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-4041
Mailing Address - Country:US
Mailing Address - Phone:610-432-4373
Mailing Address - Fax:610-432-4374
Practice Address - Street 1:732 N 19TH ST
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-4041
Practice Address - Country:US
Practice Address - Phone:610-432-4373
Practice Address - Fax:610-432-4374
Is Sole Proprietor?:No
Enumeration Date:2007-11-07
Last Update Date:2007-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA009343111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor