MEDICARE: DR. PAUL W. MURPHY M.D.

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	2084P0800X	Psychiatry Physician	04-20171	KS
2	2084P0800X	Psychiatry Physician	21317	NE
3	2084P0800X	Psychiatry Physician	24188	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720082241
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL W. MURPHY M.D.

Provider Business Mailing Address
First Line	:	9415 E HARRY ST
Second Line	:	BLDG 800
City	:	WICHITA
State	:	KS
Zip	:	67207-5089
Country	:	US
Telephone Number	:	316-686-6303
Fax Number	:	316-686-6764

Provider Business Practice Location Address
First Line	:	9415 EAST HARRY
Second Line	:	BUILDING 800
City	:	WICHITA
State	:	KS
Zip	:	67207-5072
Country	:	US
Telephone Number	:	316-686-6303
Fax Number	:	316-686-6764

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

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	04/04/2013

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