Provider Demographics
NPI:1659814226
Name:MORGAN, KATHRYN E (PNP)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:E
Last Name:MORGAN
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:
Other - Last Name:BAGLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 9007
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22906-9007
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1204 W MAIN ST FL 4
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22903-2824
Practice Address - Country:US
Practice Address - Phone:434-243-5500
Practice Address - Fax:434-924-8244
Is Sole Proprietor?:No
Enumeration Date:2016-11-29
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001225897163W00000X
VA0024173266208800000X, 363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163W00000XNursing Service ProvidersRegistered Nurse
No208800000XAllopathic & Osteopathic PhysiciansUrology