Provider Demographics
NPI:1376934372
Name:MORRISON, MARGARET (KSA)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:MORRISON
Suffix:
Gender:F
Credentials:KSA
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:
Other - Last Name:MORRISON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:SURGICAL ASSISTANT
Mailing Address - Street 1:340 KENDELL THOMAS RD
Mailing Address - Street 2:
Mailing Address - City:BARLOW
Mailing Address - State:KY
Mailing Address - Zip Code:42024-9732
Mailing Address - Country:US
Mailing Address - Phone:270-559-4543
Mailing Address - Fax:270-224-2789
Practice Address - Street 1:340 KENDELL THOMAS RD
Practice Address - Street 2:
Practice Address - City:BARLOW
Practice Address - State:KY
Practice Address - Zip Code:42024-9732
Practice Address - Country:US
Practice Address - Phone:270-559-4543
Practice Address - Fax:270-224-2789
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-11
Last Update Date:2015-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYSA258246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant