MEDICARE: KENDALL MURRAY MS, RDN, LDN

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
1	133VN1005X	Renal Nutrition Registered Dietitian

General Provider Information

NPI Number	:	1154133049
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENDALL MURRAY MS, RDN, LDN

Provider Business Mailing Address
First Line	:	16871 MOSS TREE LOOP APT 310
Second Line	:
City	:	LAND O LAKES
State	:	FL
Zip	:	34638-0074
Country	:	US
Telephone Number	:	813-767-9031
Fax Number	:

Provider Business Practice Location Address
First Line	:	7179 BROAD ST
Second Line	:
City	:	BROOKSVILLE
State	:	FL
Zip	:	34601-5536
Country	:	US
Telephone Number	:	352-631-7300
Fax Number	:	352-631-7301

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

Provider Enumeration Date	:	01/27/2025
Last Update Date	:	01/27/2025

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