Healthcare Provider Details
I. General information
NPI: 1497716443
Provider Name (Legal Business Name): MURRAY KAPELL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 03/29/2006
Last Update Date: 02/07/2022
Certification Date: 02/07/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
715 HILL ST STE 160B
MADISON WI
53705-3572
US
IV. Provider business mailing address
2534 E JOHNSON ST
MADISON WI
53704-4911
US
V. Phone/Fax
- Phone: 608-334-2341
- Fax: 888-678-1301
- Phone: 608-335-2680
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084A0401X |
| Taxonomy | Addiction Medicine (Psychiatry & Neurology) Physician |
| License Number | 44004 |
| License Number State | WI |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084F0202X |
| Taxonomy | Forensic Psychiatry Physician |
| License Number | 44004 |
| License Number State | WI |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0804X |
| Taxonomy | Child & Adolescent Psychiatry Physician |
| License Number | 44004 |
| License Number State | WI |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | 44004 |
| License Number State | WI |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: