Provider Demographics
NPI:1548697238
Name:MORGAN, KOREEN D (PA-C)
Entity type:Individual
Prefix:
First Name:KOREEN
Middle Name:D
Last Name:MORGAN
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:PO BOX 85378
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60689-5378
Mailing Address - Country:US
Mailing Address - Phone:336-274-6682
Mailing Address - Fax:336-274-8097
Practice Address - Street 1:3200 BLUE RIDGE RD STE 100
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612
Practice Address - Country:US
Practice Address - Phone:919-781-1437
Practice Address - Fax:919-787-4870
Is Sole Proprietor?:No
Enumeration Date:2013-09-26
Last Update Date:2025-10-01
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Provider Licenses
StateLicense IDTaxonomies
NC0010-050212085R0202X, 363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology