Provider Demographics
NPI:1639944234
Name:CARNEY, MORGAN KAYLENE
Entity Type:Individual
Prefix:MS
First Name:MORGAN
Middle Name:KAYLENE
Last Name:CARNEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6910 W 162ND TER UNIT 6310
Mailing Address - Street 2:
Mailing Address - City:STILWELL
Mailing Address - State:KS
Mailing Address - Zip Code:66085-8275
Mailing Address - Country:US
Mailing Address - Phone:913-940-9762
Mailing Address - Fax:
Practice Address - Street 1:6910 W 162ND TER
Practice Address - Street 2:
Practice Address - City:STILWELL
Practice Address - State:KS
Practice Address - Zip Code:66085-8263
Practice Address - Country:US
Practice Address - Phone:913-940-9762
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-24
Last Update Date:2023-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program