Provider Demographics
NPI:1578158796
Name:KINGREY, MORGAN J (PA)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:J
Last Name:KINGREY
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:713 MARSHALL ST SW
Mailing Address - Street 2:
Mailing Address - City:WINSTON-SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27101-5808
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1615 POLO RD
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27106-3831
Practice Address - Country:US
Practice Address - Phone:336-722-7266
Practice Address - Fax:336-201-0538
Is Sole Proprietor?:No
Enumeration Date:2021-03-09
Last Update Date:2023-06-28
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant