Provider Demographics
NPI:1174526115
Name:MURPHY, KAY P (NP)
Entity type:Individual
Prefix:
First Name:KAY
Middle Name:P
Last Name:MURPHY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 CRESTVIEW PARK DR
Mailing Address - Street 2:
Mailing Address - City:DICKSON
Mailing Address - State:TN
Mailing Address - Zip Code:37055-2855
Mailing Address - Country:US
Mailing Address - Phone:615-446-5121
Mailing Address - Fax:615-446-1357
Practice Address - Street 1:5194 HIGHWAY 100
Practice Address - Street 2:STE 107
Practice Address - City:LYLES
Practice Address - State:TN
Practice Address - Zip Code:37098-2822
Practice Address - Country:US
Practice Address - Phone:931-670-1102
Practice Address - Fax:615-446-1357
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2012-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN82398363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3158249OtherBLUE CROSS BLUE SHIELD TN
500014542OtherRAILROAD MEDICARE PIN
TN3901672Medicaid
3901670Medicare PIN
TN3158249OtherBLUE CROSS BLUE SHIELD TN