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Individual

KATHRYN ANN MORSEA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
516 NIZHONI BLVD, BOX 1337, GALLUP, NM 87301
(505) 722-1000
(505) 726-8740
Mailing address
516 NIZHONI BLVD, BOX 1337, GALLUP, NM 87301-5748
(505) 722-1000
(505) 726-8740

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
G79806
CA
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
G79806
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00077473
NM
05
501719
AZ
Enumeration date
07/03/2006
Last updated
07/25/2018
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