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NPI Code Detail

MEDICARE: MR. KEVIN EDWARD MURPHY M.A,C.A.G.S.

MEDICARE: MR. KEVIN EDWARD MURPHY M.A,C.A.G.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor3300MA

General Provider Information

NPI Number : 1033256979
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. KEVIN EDWARD MURPHY M.A,C.A.G.S.
Provider Business Mailing Address
First Line : 19 D MILLLERS WAY
Second Line :
City : SUTTON
State : MA
Zip : 01590
Country : US
Telephone Number : 508-767-3045
Fax Number : 508-453-2450
Provider Business Practice Location Address
First Line : 335 CHANDLER ST
Second Line :
City : WORCESTER
State : MA
Zip : 01602-3441
Country : US
Telephone Number : 508-767-3045
Fax Number : 508-453-2450
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2007
Last Update Date : 10/07/2010

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