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NPI Code Detail

MEDICARE: DR. KEVIN MURPHY

MEDICARE: DR. KEVIN MURPHY
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
1103T00000XPsychologistPSY 23323CA

General Provider Information

NPI Number : 1861877391
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KEVIN MURPHY
Provider Business Mailing Address
First Line : 11925 FAIRHOPE RD
Second Line :
City : SAN DIEGO
State : CA
Zip : 92128-2079
Country : US
Telephone Number : 619-318-8402
Fax Number :
Provider Business Practice Location Address
First Line : 2821 LANGE AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92122-3109
Country : US
Telephone Number : 858-888-5400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2015
Last Update Date : 08/07/2015

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Directions to “ DR. KEVIN MURPHY ” Practice Location

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