Provider Demographics
NPI:1073828513
Name:MORRISON, KATHARINE (DO)
Entity type:Individual
Prefix:DR
First Name:KATHARINE
Middle Name:
Last Name:MORRISON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2037 WALES AVE NW STE 130
Mailing Address - Street 2:
Mailing Address - City:MASSILLON
Mailing Address - State:OH
Mailing Address - Zip Code:44646-4185
Mailing Address - Country:US
Mailing Address - Phone:330-830-9378
Mailing Address - Fax:330-830-1534
Practice Address - Street 1:2037 WALES AVE NW STE 130
Practice Address - Street 2:
Practice Address - City:MASSILLON
Practice Address - State:OH
Practice Address - Zip Code:44646-4185
Practice Address - Country:US
Practice Address - Phone:330-830-9378
Practice Address - Fax:330-830-1534
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-09
Last Update Date:2020-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH58.003592390200000X
OH34.010875207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program