Provider Demographics
NPI:1649969726
Name:MORGAN, KALON LANE (DO)
Entity type:Individual
Prefix:
First Name:KALON
Middle Name:LANE
Last Name:MORGAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:598 NATURE VIEW DR
Mailing Address - Street 2:
Mailing Address - City:CEDAR CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84720-1969
Mailing Address - Country:US
Mailing Address - Phone:435-256-0345
Mailing Address - Fax:
Practice Address - Street 1:7703 FLOYD CURL DR # 7845
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3901
Practice Address - Country:US
Practice Address - Phone:210-567-5676
Practice Address - Fax:210-567-6868
Is Sole Proprietor?:No
Enumeration Date:2023-05-03
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program