MEDICARE: KASEY Y MORRISON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	208800000X	Urology Physician	D77685	MD

General Provider Information

NPI Number	:	1134362502
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KASEY Y MORRISON MD

Provider Business Mailing Address
First Line	:	8807 COLESVILLE RD
Second Line	:	2ND FLOOR
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-4346
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8807 COLESVILLE RD
Second Line	:	2ND FLOOR
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-4346
Country	:	US
Telephone Number	:	301-608-3833
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2009
Last Update Date	:	07/09/2014

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