Healthcare Provider Details

I. General information

NPI: 1205829678
Provider Name (Legal Business Name): KATHLEEN MURPHY MARC MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KATHLEEN MURPHY MD

II. Dates (important events)

Enumeration Date: 08/31/2005
Last Update Date: 10/06/2023
Certification Date: 10/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

599 9TH ST N STE 300
NAPLES FL
34102-5624
US

IV. Provider business mailing address

8590 PEPPER TREE WAY
NAPLES FL
34114-9424
US

V. Phone/Fax

Practice location:
  • Phone: 239-799-4147
  • Fax: 239-241-7257
Mailing address:
  • Phone: 781-290-9239
  • Fax: 239-519-9022

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberME128362
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: