Provider Demographics
NPI:1518552835
Name:EGON, MORRIS
Entity Type:Individual
Prefix:
First Name:MORRIS
Middle Name:
Last Name:EGON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7918 NW 76TH TER
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64152-4419
Mailing Address - Country:US
Mailing Address - Phone:816-550-4998
Mailing Address - Fax:913-788-8835
Practice Address - Street 1:7345 LEAVENWORTH RD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66109-1221
Practice Address - Country:US
Practice Address - Phone:816-550-4998
Practice Address - Fax:913-550-4998
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-08
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health