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NPI Code Detail

MEDICARE: KELLY A MURPHY ARNP

MEDICARE:   KELLY A MURPHY  ARNP
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
1363LF0000XFamily Nurse PractitionerAPRN1657502FL
2363LA2200XAdult Health Nurse PractitionerAPRN1657502FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1E3864UOTHERFLMEDICARE
3P01813283OTHERFLFL RR MEDICARE

Other Identifiers

General Provider Information

NPI Number : 1477533784
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLY A MURPHY ARNP
Provider Business Mailing Address
First Line : 150 N SYKES CREEK PKWY STE 300
Second Line :
City : MERRITT ISLAND
State : FL
Zip : 32953-3488
Country : US
Telephone Number : 321-431-8143
Fax Number : 321-454-4026
Provider Business Practice Location Address
First Line : 150 N SYKES CREEK PKWY STE 300
Second Line :
City : MERRITT ISLAND
State : FL
Zip : 32953-3488
Country : US
Telephone Number : 321-431-8143
Fax Number : 321-454-4026
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2006
Last Update Date : 03/31/2025

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Directions to “ KELLY A MURPHY ARNP” Practice Location

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