Individual provider Active NPI

Kendrick Oliver Morrison, M.D.

  • Otolaryngology Physician
  • Taylorsville, UT
National Provider Identifier
1710210323
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
1507561205 Issued in UT
Practice address
3445 W. Mount Ellen Way
Apt Os611
Taylorsville, UT 84129-4010
Phone
(801) 209-4569
NPI assigned
Sep 14, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 1507561205 UT Primary

Addresses

Primary practice location

3445 W. Mount Ellen Way
Apt Os611
Taylorsville, UT 84129-4010

Mailing address

3445 W. Mount Ellen Way
Apt Os611
Taylorsville, UT 84129-4010
Phone (801) 209-4569

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1507561205UTMDOtolaryngology Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1710210323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3445 W. MOUNT ELLEN WAY",
            "address_2": "APT OS611",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841294010",
            "telephone_number": "801-209-4569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3445 W. MOUNT ELLEN WAY",
            "address_2": "APT OS611",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841294010",
            "telephone_number": "801-209-4569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "KENDRICK",
        "middle_name": "OLIVER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-14",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "UT",
            "license": "1507561205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylorsville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.