MEDICARE: MR. DAVID K MURREY PT

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	225100000X	Physical Therapist	11-00316	KS

General Provider Information

NPI Number	:	1285611400
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DAVID K MURREY PT

Provider Business Mailing Address
First Line	:	8526 LAKELAND DR
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67207-5127
Country	:	US
Telephone Number	:	316-685-2259
Fax Number	:

Provider Business Practice Location Address
First Line	:	3243 E MURDOCK ST
Second Line	:	SUITE 101
City	:	WICHITA
State	:	KS
Zip	:	67208-3052
Country	:	US
Telephone Number	:	316-687-4581
Fax Number	:	316-687-9728

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

Provider Enumeration Date	:	12/29/2005
Last Update Date	:	07/08/2007

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