Healthcare Provider Details

I. General information

NPI: 1043445166
Provider Name (Legal Business Name): KATHRYN GANN MURFF MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2009
Last Update Date: 07/17/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 E CHAMBERS DR
BOONEVILLE MS
38829-8938
US

IV. Provider business mailing address

303 N MADISON ST
CORINTH MS
38834-5072
US

V. Phone/Fax

Practice location:
  • Phone: 662-728-3174
  • Fax: 662-728-3175
Mailing address:
  • Phone: 662-286-9258
  • Fax: 662-284-9836

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: