MEDICARE: DR. KELSEY RENEE MURRAY MD

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	207Q00000X	Family Medicine Physician	35.138343	OH

General Provider Information

NPI Number	:	1154854958
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KELSEY RENEE MURRAY MD

Provider Business Mailing Address
First Line	:	7055 ENGLE RD BLDG 6
Second Line	:
City	:	MIDDLEBURG HEIGHTS
State	:	OH
Zip	:	44130-8491
Country	:	US
Telephone Number	:	833-800-2519
Fax Number	:

Provider Business Practice Location Address
First Line	:	7055 ENGLE RD BLDG 6
Second Line	:
City	:	MIDDLEBURG HEIGHTS
State	:	OH
Zip	:	44130-8491
Country	:	US
Telephone Number	:	833-800-2519
Fax Number	:

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

Provider Enumeration Date	:	04/07/2017
Last Update Date	:	10/15/2024

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