MEDICARE: KEVIN D MURPHY MS

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	103K00000X	Behavior Analyst	BH005333	PA

General Provider Information

NPI Number	:	1538561725
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEVIN D MURPHY MS

Provider Business Mailing Address
First Line	:	1535 PINE ST APT 2F
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19102-4650
Country	:	US
Telephone Number	:	610-241-5211
Fax Number	:

Provider Business Practice Location Address
First Line	:	1535 PINE STREET
Second Line	:	1535 PINE ST PHILADELPHIA PA
City	:	PHILADELPHIA
State	:	PA
Zip	:	19102-3693
Country	:	US
Telephone Number	:	610-241-5211
Fax Number	:

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

Provider Enumeration Date	:	09/19/2014
Last Update Date	:	09/14/2024

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