Healthcare Provider Details

I. General information

NPI: 1174440556
Provider Name (Legal Business Name): KARA GRACE MORGAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

865 WESTLAKE DR
MOUNT AIRY NC
27030-2102
US

IV. Provider business mailing address

156 TIMBER LAKE CT
MOUNT GILEAD NC
27306-9286
US

V. Phone/Fax

Practice location:
  • Phone: 704-475-2516
  • Fax:
Mailing address:
  • Phone: 704-475-2516
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: