MEDICARE: CLARA SUE MURRAY PA

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	15-03193	KS

General Provider Information

NPI Number	:	1558003335
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLARA SUE MURRAY PA

Provider Business Mailing Address
First Line	:	19600 E 39TH ST S
Second Line	:
City	:	INDEPENDENCE
State	:	MO
Zip	:	64057-2301
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	19600 E 39TH ST S
Second Line	:
City	:	INDEPENDENCE
State	:	MO
Zip	:	64057-2301
Country	:	US
Telephone Number	:	816-698-7692
Fax Number	:

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

Provider Enumeration Date	:	04/11/2022
Last Update Date	:	01/23/2026

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Directions to “ CLARA SUE MURRAY PA” Practice Location

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