MEDICARE: KELLY MURIE PLLC

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	111N00000X	Chiropractor	B01092	NV

General Provider Information

NPI Number	:	1487926069
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KELLY MURIE PLLC

Provider Business Mailing Address
First Line	:	2604 S WILSON DR
Second Line	:
City	:	HURRICANE
State	:	UT
Zip	:	84737-7708
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8475 S EASTERN AVE STE 101
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-2863
Country	:	US
Telephone Number	:	702-898-3311
Fax Number	:	702-898-3383

Authorized Official
Title or Position	:	OWNER
Name	:	DR. KELLY E MURIE
Credential	:	DC
Telephone Number	:	702-807-7060

Provider Enumeration Date	:	01/30/2012
Last Update Date	:	05/10/2024

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