MEDICARE: DR. KENT R. 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	207Y00000X	Otolaryngology Physician	25625	TN

General Provider Information

NPI Number	:	1750348892
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KENT R. MURPHY M.D.

Provider Business Mailing Address
First Line	:	5653 FRIST BLVD
Second Line	:	SUITE 231
City	:	HERMITAGE
State	:	TN
Zip	:	37076-2062
Country	:	US
Telephone Number	:	615-872-0922
Fax Number	:	615-885-8059

Provider Business Practice Location Address
First Line	:	5653 FRIST BLVD
Second Line	:	SUITE 231
City	:	HERMITAGE
State	:	TN
Zip	:	37076-2062
Country	:	US
Telephone Number	:	615-872-0922
Fax Number	:	615-885-8059

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

Provider Enumeration Date	:	05/01/2006
Last Update Date	:	01/04/2008

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