Provider Demographics
NPI:1295056349
Name:MORGAN, KIMBERLY UNDERWOOD (PMHNP, MN)
Entity type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:UNDERWOOD
Last Name:MORGAN
Suffix:
Gender:F
Credentials:PMHNP, MN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:180 DEBUYS RD
Mailing Address - Street 2:
Mailing Address - City:BILOXI
Mailing Address - State:MS
Mailing Address - Zip Code:39531-4402
Mailing Address - Country:US
Mailing Address - Phone:228-388-0600
Mailing Address - Fax:228-388-5966
Practice Address - Street 1:180 DEBUYS RD
Practice Address - Street 2:
Practice Address - City:BILOXI
Practice Address - State:MS
Practice Address - Zip Code:39531-4402
Practice Address - Country:US
Practice Address - Phone:228-388-0600
Practice Address - Fax:228-388-5966
Is Sole Proprietor?:No
Enumeration Date:2010-06-11
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR809823163W00000X, 2084P0800X, 163WP0808X
MS809823363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health