Provider Demographics
NPI:1861762684
Name:MORGAN, KATHLEEN E (RPH)
Entity type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:E
Last Name:MORGAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7403 ZWICKLE RD
Mailing Address - Street 2:
Mailing Address - City:LOGAN
Mailing Address - State:OH
Mailing Address - Zip Code:43138-9496
Mailing Address - Country:US
Mailing Address - Phone:740-603-5079
Mailing Address - Fax:
Practice Address - Street 1:10 W WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:NELSONVILLE
Practice Address - State:OH
Practice Address - Zip Code:45764-1178
Practice Address - Country:US
Practice Address - Phone:740-753-5676
Practice Address - Fax:740-753-9313
Is Sole Proprietor?:No
Enumeration Date:2012-01-10
Last Update Date:2012-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03216552183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist