Healthcare Provider Details

I. General information

NPI: 1619898624
Provider Name (Legal Business Name): KAYLEE MURPHY CNA, TMA, NS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2817 HASS ST
LA CROSSE WI
54601-7672
US

IV. Provider business mailing address

2817 HASS ST
LA CROSSE WI
54601-7672
US

V. Phone/Fax

Practice location:
  • Phone: 507-313-6428
  • Fax:
Mailing address:
  • Phone: 507-313-6428
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number StateMN
# 4
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: