Individual
KATHRYN DIANE MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, FNP-BC
Contact information
Practice address
400 FAIRVIEW HEIGHTS RD, SUITE 302, SUMMERSVILLE, WV 26651-9308
(304) 872-7063
(304) 872-7080
Mailing address
PO BOX 310, SUMMERSVILLE, WV 26651-0310
(304) 872-7063
(304) 872-7080
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
40555
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7103076000
—
WV
Enumeration date
12/08/2005
Last updated
03/10/2014
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