Basic Information
Provider Information
NPI: 1003004185
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MORGAN
FirstName: KATHLEEN
MiddleName: QUIGLEY
NamePrefix:  
NameSuffix:  
Credential: PA-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: QUIGLEY
OtherFirstName: KATHLEEN
OtherMiddleName: ELIZABETH
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: PA-C
OtherLastNameType: 1
Mailing Information
Address1: 267 SOUTH RD
Address2:  
City: BRENTWOOD
State: NH
PostalCode: 038336311
CountryCode: US
TelephoneNumber: 5742612683
FaxNumber:  
Practice Location
Address1: 333 BORTHWICK AVE
Address2:  
City: PORTSMOUTH
State: NH
PostalCode: 038017128
CountryCode: US
TelephoneNumber: 5742612683
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/14/2007
LastUpdateDate: 06/18/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363A00000X  Y Physician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant 

No ID Information.


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