Provider Demographics
NPI:1538973417
Name:THIEVERGE, MORGAN (HIS)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:
Last Name:THIEVERGE
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9501 STATE AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66111-1871
Mailing Address - Country:US
Mailing Address - Phone:913-788-2727
Mailing Address - Fax:
Practice Address - Street 1:9501 STATE AVE STE 3
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66111-1871
Practice Address - Country:US
Practice Address - Phone:913-788-2727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1952237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist