Morgan, Kimberly M

Morgan, Kimberly M is an individual health care provider with primary practice located at 3445 Henderson Dr Ext , Jacksonville NC 28546. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Morgan, Kimberly M can be contacted via phone (910) 347-1283.

Contact Information

Primary practice address
3445 Henderson Dr Ext Jacksonville NC 28546
Fax: (910) 347-2153
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 6066 North Carolina

Profile Details

NPI number 1861618159
LBN Legal business name Morgan, Kimberly M
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861618159 NPPES
Other 96192 BCBS
Other 015K3 BCBS
MEDICAID 8996192 BCBS

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