Provider Demographics
NPI:1437885902
Name:MURPHY, KAYLA M
Entity type:Individual
Prefix:MISS
First Name:KAYLA
Middle Name:M
Last Name:MURPHY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 ESOPUS AVE
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:NY
Mailing Address - Zip Code:12401-1325
Mailing Address - Country:US
Mailing Address - Phone:845-663-0513
Mailing Address - Fax:
Practice Address - Street 1:6 ADAMS ST
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-6012
Practice Address - Country:US
Practice Address - Phone:845-340-9170
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-27
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist