MEDICARE: DR. KEVIN A MURPHY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	321173-1205	UT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083641385
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KEVIN A MURPHY M.D.

Provider Business Mailing Address
First Line	:	PO BOX 27128
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84127-0128
Country	:	US
Telephone Number	:	435-257-4444
Fax Number	:	435-257-4458

Provider Business Practice Location Address
First Line	:	935 N 1000 W
Second Line	:
City	:	TREMONTON
State	:	UT
Zip	:	84337-9356
Country	:	US
Telephone Number	:	435-207-4811
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/26/2006
Last Update Date	:	10/19/2015

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