MEDICARE: MORGAN KANDICE COLEY RN

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	163W00000X	Registered Nurse	4704369708	MI

General Provider Information

NPI Number	:	1154283745
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MORGAN KANDICE COLEY RN

Provider Business Mailing Address
First Line	:	3183 LARCHMONT ST
Second Line	:
City	:	FLINT
State	:	MI
Zip	:	48532-5286
Country	:	US
Telephone Number	:	810-399-4488
Fax Number	:

Provider Business Practice Location Address
First Line	:	801 S SAGINAW ST
Second Line	:
City	:	FLINT
State	:	MI
Zip	:	48502-1511
Country	:	US
Telephone Number	:	810-238-7621
Fax Number	:

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

Provider Enumeration Date	:	12/02/2025
Last Update Date	:	12/02/2025

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