MEDICARE: DR. KATELYN ELISE MURPHY AUD

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	231H00000X	Audiologist	002993	NY

General Provider Information

NPI Number	:	1851998405
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATELYN ELISE MURPHY AUD

Provider Business Mailing Address
First Line	:	916 PLANK RD
Second Line	:
City	:	PENFIELD
State	:	NY
Zip	:	14526-9738
Country	:	US
Telephone Number	:	585-507-8022
Fax Number	:

Provider Business Practice Location Address
First Line	:	3513 THOMAS DR STE 2
Second Line	:
City	:	LAKEVILLE
State	:	NY
Zip	:	14480-9759
Country	:	US
Telephone Number	:	585-243-7690
Fax Number	:

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

Provider Enumeration Date	:	10/07/2020
Last Update Date	:	10/07/2020

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