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General NPI Number Information
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NPI Number | 1134813413
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Entity Type | Individual
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Provider Name | KELLY ANN MURPHY PA-C
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Gender | Female
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Dates
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Enumeration Date | 06/08/2023
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 2025 W OKLAHOMA AVE
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City | MILWAUKEE
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State | WI
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Zip | 53215-4455
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Country | US
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Telephone | 414-389-3161
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 842578
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City | KANSAS CITY
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State | MO
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Zip | 64184-2578
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Country | US
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Telephone | 970-926-6350
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Fax | 970-926-6348
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA.0009165
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 7493
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | PENDING
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License Number State | WI
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