Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 940055 | NC |
NPI | 1063500668 |
---|---|
Provider Name | Kimberly M Morgan |
First Address | Laurinburg, NC 28352-4637 |
Second Address | Laurinburg, NC 28352-4637 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2006 |
Last Update Date | 08/07/2007 |