Provider Demographics
NPI:1184953846
Name:MORRELL, KATHLEEN MICHELE (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:MICHELE
Last Name:MORRELL
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
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Mailing Address - Street 1:4422 9TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-1603
Mailing Address - Country:US
Mailing Address - Phone:718-283-8930
Mailing Address - Fax:718-283-8935
Practice Address - Street 1:4422 9TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-1603
Practice Address - Country:US
Practice Address - Phone:718-283-8930
Practice Address - Fax:718-283-8935
Is Sole Proprietor?:No
Enumeration Date:2009-12-09
Last Update Date:2015-11-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY256498207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology