Provider Demographics
NPI:1750348892
Name:MURPHY, KENT R (MD)
Entity type:Individual
Prefix:DR
First Name:KENT
Middle Name:R
Last Name:MURPHY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:5653 FRIST BLVD
Mailing Address - Street 2:SUITE 231
Mailing Address - City:HERMITAGE
Mailing Address - State:TN
Mailing Address - Zip Code:37076-2062
Mailing Address - Country:US
Mailing Address - Phone:615-872-0922
Mailing Address - Fax:615-885-8059
Practice Address - Street 1:5653 FRIST BLVD
Practice Address - Street 2:SUITE 231
Practice Address - City:HERMITAGE
Practice Address - State:TN
Practice Address - Zip Code:37076-2062
Practice Address - Country:US
Practice Address - Phone:615-872-0922
Practice Address - Fax:615-885-8059
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-01
Last Update Date:2008-01-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN25625207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN05440Medicare ID - Type UnspecifiedPAYOR ID
TNH26629Medicare UPIN