Healthcare Provider Details
I. General information
NPI: 1205758018
Provider Name (Legal Business Name): MURPHY WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
500 W 4TH ST
PEABODY KS
66866-1103
US
IV. Provider business mailing address
500 W 4TH ST
PEABODY KS
66866-1103
US
V. Phone/Fax
- Phone: 484-464-3820
- Fax: 620-634-0958
- Phone: 484-464-3820
- Fax: 620-634-0958
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2300X |
| Taxonomy | Primary Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JENNIFER
MURPHY
Title or Position: OWNER
Credential: APRN
Phone: 484-464-3820