Healthcare Provider Details

I. General information

NPI: 1851793863
Provider Name (Legal Business Name): KYLA MURPHY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2014
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2530 N BROOKFIELD RD
BROOKFIELD WI
53045-4134
US

IV. Provider business mailing address

13120 KITTRIDGE CT
BROOKFIELD WI
53005-1913
US

V. Phone/Fax

Practice location:
  • Phone: 262-785-3930
  • Fax:
Mailing address:
  • Phone: 262-685-7138
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number5036-154
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: