MEDICARE: DR. MEGAN KAYLEEN MURDOCK DC

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	2255A2300X	Athletic Trainer	RTO000268	PA
2	111N00000X	Chiropractor	DC011439	PA

General Provider Information

NPI Number	:	1871065391
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MEGAN KAYLEEN MURDOCK DC

Provider Business Mailing Address
First Line	:	2016 PLYMOUTH CT
Second Line	:
City	:	GIBSONIA
State	:	PA
Zip	:	15044-9592
Country	:	US
Telephone Number	:	814-952-2942
Fax Number	:

Provider Business Practice Location Address
First Line	:	109 GRANDVIEW AVE
Second Line	:
City	:	CHICORA
State	:	PA
Zip	:	16025-2136
Country	:	US
Telephone Number	:	724-607-1160
Fax Number	:

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

Provider Enumeration Date	:	12/21/2018
Last Update Date	:	01/21/2020

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