Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 58.030808 | OH |
N | 207PP0204X | Pediatric Emergency Physician | 58.030808 | OH |
NPI | 1528529286 |
---|---|
Provider Name | Kayla Ann Morrison |
First Address | Toledo, OH 43623-3544 |
Second Address | Toledo, OH 43606 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2019 |
Last Update Date | 20/09/2019 |