Healthcare Provider Details

I. General information

NPI: 1154283745
Provider Name (Legal Business Name): MORGAN KANDICE COLEY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/02/2025
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 S SAGINAW ST
FLINT MI
48502-1511
US

IV. Provider business mailing address

3183 LARCHMONT ST
FLINT MI
48532-5286
US

V. Phone/Fax

Practice location:
  • Phone: 810-238-7621
  • Fax:
Mailing address:
  • Phone: 810-399-4488
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number4704369708
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: