Healthcare Provider Details

I. General information

NPI: 1295283448
Provider Name (Legal Business Name): KATHRYN ANN MORGAN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2016
Last Update Date: 12/13/2021
Certification Date: 12/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 BLACK GOLD BLVD STE 210
HAZARD KY
41701-2620
US

IV. Provider business mailing address

100 AIRPORT GARDENS RD STE 311
HAZARD KY
41701-9529
US

V. Phone/Fax

Practice location:
  • Phone: 606-487-7000
  • Fax: 606-487-7022
Mailing address:
  • Phone: 606-487-7503
  • Fax: 606-439-6927

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3010694
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: