| Doctor Name: | DR. KIMBERLY LYNN MORSTADT |
| NPI Number: | 1639370083 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 125051462 |
| Business Practice Address: | 300 N Milwaukee Ave Suite D Lake Villa, IL - 600468563 |
| Business Phone Number: | 8473566634 |
| Business Fax Number: | 8473567264 |
| Mailing Address: | 7100 Commerce Way, Suite 180 BRENTWOOD |
| State: | TN |
| Postal Code: | 370272829 |
| Phone Number: | 6154657000 |
| Fax Number: | 6154653007 |
| NPI Enumeration Date: | 05/31/2007 |
| NPI Last Update Date: | 02/23/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | 125051462 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |