MEDICARE: DR. KEVIN P MURRAY D.O.

Medicare Provider Information

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	200401546	NC

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00183039	OTHER	NC	RAILROAD MEDICARE

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	D8904	OTHER		MEDCOST
3	561638624	OTHER		COMMERCIAL PAYERS
4	138MU	OTHER	NC	BCBS
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1124097670
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KEVIN P MURRAY D.O.

Provider Business Mailing Address
First Line	:	804 JOHNS HOPKINS DR
Second Line	:
City	:	GREENVILLE
State	:	NC
Zip	:	27834-7222
Country	:	US
Telephone Number	:	252-757-1000
Fax Number	:	252-757-3045

Provider Business Practice Location Address
First Line	:	804 JOHNS HOPKINS DR
Second Line	:
City	:	GREENVILLE
State	:	NC
Zip	:	27834-7222
Country	:	US
Telephone Number	:	252-757-1000
Fax Number	:	252-757-3045

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2006
Last Update Date	:	01/12/2022

804 JOHNS HOPKINS DR
GREENVILLE, NC
27834-7222

Practice Phone: 252-757-1000
Practice Fax: 252-757-3045

850 JOHNS HOPKINS DR , POB 5007
GREENVILLE, NC
27834-7222