Healthcare Provider Details

I. General information

NPI: 1508691908
Provider Name (Legal Business Name): MORGAN NICOLE KUHN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2024
Last Update Date: 09/05/2024
Certification Date: 09/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

141 BEULAH AVE
ZANESVILLE OH
43701-4004
US

IV. Provider business mailing address

141 BEULAH AVE
ZANESVILLE OH
43701-4004
US

V. Phone/Fax

Practice location:
  • Phone: 220-203-6527
  • Fax:
Mailing address:
  • Phone: 220-203-6527
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number601197480724
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: