MEDICARE: MS. KIERRA MAKENNA MURDOCH PA-C

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	363A00000X	Physician Assistant	PA20138	TX

General Provider Information

NPI Number	:	1437849361
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KIERRA MAKENNA MURDOCH PA-C

Provider Business Mailing Address
First Line	:	2800 IH 35 S STE 400
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78681-8099
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2800 IH 35 S STE 400
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78681-8099
Country	:	US
Telephone Number	:	512-910-8737
Fax Number	:

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

Provider Enumeration Date	:	05/12/2023
Last Update Date	:	04/09/2026

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