Provider Demographics
NPI:1689173031
Name:MORGAN, KEVIN NICHOLAS (MD)
Entity type:Individual
Prefix:
First Name:KEVIN
Middle Name:NICHOLAS
Last Name:MORGAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5015 W NASSAU ST
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-3814
Mailing Address - Country:US
Mailing Address - Phone:813-356-0196
Mailing Address - Fax:813-356-0197
Practice Address - Street 1:16513 S US HIGHWAY 301
Practice Address - Street 2:
Practice Address - City:WIMAUMA
Practice Address - State:FL
Practice Address - Zip Code:33598-2032
Practice Address - Country:US
Practice Address - Phone:813-685-0827
Practice Address - Fax:813-633-2587
Is Sole Proprietor?:No
Enumeration Date:2018-02-12
Last Update Date:2024-07-29
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Provider Licenses
StateLicense IDTaxonomies
FL159661208800000X, 208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology