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Individual

DR. BETHANIE NICHOLE MORGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
411 E CHESTNUT ST # STREET6, LOUISVILLE, KY 40202-1713
(502) 588-3650
(502) 588-7852
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 588-9490
(502) 272-5116

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
036.142291
IL
2084N0400X
Neurology Physician
35091735
OH
2084N0400X
Neurology Physician
MD2017-0001
NM
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
036.142291
IL
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
35091735
OH
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
53487
KY
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
MD2017-0001
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0061405
OH
Enumeration date
04/09/2008
Last updated
01/13/2023
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