Provider Demographics
NPI:1295283448
Name:MORGAN, KATHRYN ANN (APRN)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:ANN
Last Name:MORGAN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:100 AIRPORT GARDENS RD STE 311
Mailing Address - Street 2:
Mailing Address - City:HAZARD
Mailing Address - State:KY
Mailing Address - Zip Code:41701-9529
Mailing Address - Country:US
Mailing Address - Phone:606-487-7503
Mailing Address - Fax:606-439-6927
Practice Address - Street 1:210 BLACK GOLD BLVD STE 210
Practice Address - Street 2:
Practice Address - City:HAZARD
Practice Address - State:KY
Practice Address - Zip Code:41701-2620
Practice Address - Country:US
Practice Address - Phone:606-487-7000
Practice Address - Fax:606-487-7022
Is Sole Proprietor?:No
Enumeration Date:2016-09-16
Last Update Date:2021-12-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KY3010694363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY3010694OtherNP LICENSE
KY7100486900Medicaid