Healthcare Provider Details

I. General information

NPI: 1518391184
Provider Name (Legal Business Name): KATE M MURPHY PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATE M HENDERLONG PA-C

II. Dates (important events)

Enumeration Date: 08/30/2013
Last Update Date: 07/25/2024
Certification Date: 07/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 OLIVE CHAPEL RD STE 107
APEX NC
27502-8587
US

IV. Provider business mailing address

10900 WORLD TRADE BLVD
RALEIGH NC
27617-4202
US

V. Phone/Fax

Practice location:
  • Phone: 919-267-5862
  • Fax: 919-267-5866
Mailing address:
  • Phone: 919-237-1337
  • Fax: 866-538-4716

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number25MP00309500
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0010-07202
License Number StateNC

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: