Healthcare Provider Details

I. General information

NPI: 1659139616
Provider Name (Legal Business Name): KEVIN MURPHY II DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/13/2024
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1773 VILLAGE PARK DR
ORANGEBURG SC
29118
US

IV. Provider business mailing address

1773 VILLAGE PARK DR
ORANGEBURG SC
29118-2475
US

V. Phone/Fax

Practice location:
  • Phone: 803-937-3968
  • Fax: 803-534-3600
Mailing address:
  • Phone: 803-937-3968
  • Fax: 803-534-3600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number5076
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: