Provider Demographics
NPI:1568601144
Name:MORSE, KATHARINE L (DOM)
Entity Type:Individual
Prefix:
First Name:KATHARINE
Middle Name:L
Last Name:MORSE
Suffix:
Gender:F
Credentials:DOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 NE 28TH AVE
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32609-3276
Mailing Address - Country:US
Mailing Address - Phone:386-365-8185
Mailing Address - Fax:
Practice Address - Street 1:134 SW KNOX ST
Practice Address - Street 2:
Practice Address - City:LAKE CITY
Practice Address - State:FL
Practice Address - Zip Code:32025-5259
Practice Address - Country:US
Practice Address - Phone:386-365-8185
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-05
Last Update Date:2009-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP 2634171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist