| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Kiernan Hale Morrow | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Kiernan | [sources] | |||
| Last name | Morrow | [sources] | |||
| Middle name | Hale | [sources] | |||
| NPI | 1669407763 | [sources] | |||
| Registration number | C 156513 | [sources] | |||
| Sector | Physician | [sources] | |||
| Address | 1573 Pennsylvania Avenue, Unit 10N, Miami Beach, FL, 33139 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.
United States · DHCS
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