Healthcare Provider Details

I. General information

NPI: 1902749898
Provider Name (Legal Business Name): KAYLA NICOLE MORGAN
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1941 S 42ND ST STE 122
OMAHA NE
68105-2942
US

IV. Provider business mailing address

2004 RIDGEWOOD DR
PAPILLION NE
68133-2468
US

V. Phone/Fax

Practice location:
  • Phone: 402-346-5242
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: