Basic Information
Provider Information
NPI: 1467074310
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALFIERI
FirstName: MORGAN
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1010 N KANSAS ST STE 3023
Address2:  
City: WICHITA
State: KS
PostalCode: 672143124
CountryCode: US
TelephoneNumber: 3162932665
FaxNumber:  
Practice Location
Address1: 1010 N KANSAS ST STE 3023
Address2:  
City: WICHITA
State: KS
PostalCode: 672143124
CountryCode: US
TelephoneNumber: 3162932665
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/14/2020
LastUpdateDate: 05/16/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/16/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800X94-10207KSY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

No ID Information.


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