Provider Demographics
NPI:1295474450
Name:MURPHY, KELSEY CAMERON (LPN)
Entity type:Individual
Prefix:
First Name:KELSEY
Middle Name:CAMERON
Last Name:MURPHY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:605 COUNTY ROAD 439
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:TN
Mailing Address - Zip Code:37303-7513
Mailing Address - Country:US
Mailing Address - Phone:423-920-4221
Mailing Address - Fax:
Practice Address - Street 1:393 COUNTY ROAD 554
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:TN
Practice Address - Zip Code:37303-6420
Practice Address - Country:US
Practice Address - Phone:423-745-7431
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-03
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN88870164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse