Provider Demographics
NPI:1952556417
Name:MORGAN, KYLE CHANDLER (DO)
Entity Type:Individual
Prefix:DR
First Name:KYLE
Middle Name:CHANDLER
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 1:2801 YOUNGFIELD ST
Mailing Address - Street 2:STE 150
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-2263
Mailing Address - Country:US
Mailing Address - Phone:303-238-4277
Mailing Address - Fax:303-238-4977
Practice Address - Street 1:2801 YOUNGFIELD ST
Practice Address - Street 2:STE 150
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-2263
Practice Address - Country:US
Practice Address - Phone:303-238-4277
Practice Address - Fax:303-238-4977
Is Sole Proprietor?:No
Enumeration Date:2008-11-25
Last Update Date:2015-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR497532081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO315323YUMedicare PIN