Provider Demographics
NPI:1093490187
Name:MURPHY, KALYN RAIN (LMFT-T)
Entity Type:Individual
Prefix:
First Name:KALYN
Middle Name:RAIN
Last Name:MURPHY
Suffix:
Gender:F
Credentials:LMFT-T
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 BROOKSTONE DR
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66502-8430
Mailing Address - Country:US
Mailing Address - Phone:205-768-3117
Mailing Address - Fax:
Practice Address - Street 1:224 BROOKSTONE DR
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66502-8430
Practice Address - Country:US
Practice Address - Phone:205-768-3117
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-16
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS03497-T106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist